• Cancer · Mar 1987

    A new permanent exteriorized epidural catheter for narcotic self-administration to control cancer pain.

    • S L DuPen, D G Peterson, A C Bogosian, D H Ramsey, C Larson, and M Omoto.
    • Cancer. 1987 Mar 1; 59 (5): 986-93.

    AbstractThe lack of an available exteriorized permanent epidural catheter led to the application of the Broviac catheter technology to the development of an epidural catheter. The resulting three-piece silicone-rubber catheter system allows specific spinal-level location of the catheter tip from a lumbar entry site, and exteriorization for ease of self-administration. Fifty-five cancer patients with metastatic disease and intractable pain received 58 catheters. No catheter infections were found during 3891 catheter-days of use, and only 18 minor side effects were noted, with no respiratory depression observed. Hospitalizations for pain control was decreased by 90% after catheter placement. Therefore, the authors recommend early placement of this silicone-rubber epidural catheter to control pain unrelieved by oral analgesics.

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