Korean J Anesthesiol.  1985 Dec;18(4):440-447.

Clinical Study on the Management of Pain

Affiliations
  • 1Department of Anesthesiology, Chonbuk National University Medical School, Chenju, Korea.

Abstract

Several methods for the management of intractable pain for various conditions including malignant disorders, herpes zoster, and low back pain and/or sciatica in 80 patients were described and analyzed. Neurolytric blocks of celiac plexus were given to the patients suffering from intra-abdominal pain from malignant origin or chronic pancreatitis. Herpes zoster was treated mainly by chemical sympathectomy via paravertebral route and occassionaly corticosteroid was administered epidurally with the local anesthetic, bupivacaine. All the patients with low back pain and/or sciatica were given epidural corticosteroid one to three times. Other peripheral were blocks and regional corticosteroid therpy were given to the rest of the patients. Fair to excellent result was obtained in 71% of the patients but the response was poor in the remaining 28% of the patients. It seems that the earlier the patients were referred to the pain clinic, the better the results were.


MeSH Terms

Bupivacaine
Celiac Plexus
Herpes Zoster
Humans
Low Back Pain
Pain Clinics
Pain, Intractable
Pancreatitis, Chronic
Sciatica
Sympathectomy, Chemical
Bupivacaine
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