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이영복(Yoang Bok Lee),김 찬(Chan Kim),최 령(Ryung 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.1
In early stages, cancer is not usually painful. However, many patients with recurrent or met- astatic cancer eventually experience pain, which becomes progressively worse. Chemotherapy, sympathetic surgery, physical therapy and nerve block can be used to control cancer pain. A 60-year old patient had severe pain of the soft palate due to squamous cell carcinoma. We successfully treated this patient with maxillary nerve block using pure alcohol by a lateral ap- proach. Four months after maxillay nerve block, the patient is still pain free.
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길혜금,엄대자,우남식,최 령 대한통증학회 1988 The Korean Journal of Pain Vol.1 No.1
In recent years the use of epidural opiates has increased and although this method of pain relief has shown good results in clinical practice it is still subject to certain drowba- cks, the most serious of which appears to be delayed respiratory depression. Since ketamine administered systemically is unlikely to produce respiratory depression it seemed worthwhile to investigate the possibility of exploiting the potent analgesic property to ketamine by its epidural administration. The analgesic effect of ketamine 4 mg, administered epidural space, was evaluated. The duration of pain relief varied from less than 3 hours in 20% to over 24 hours in 30% of the cases. In 62.5% of the cases pain relief exceeded 6 hours. There was no evidence of respiratory depression, and there no postoperative neurologic sequelae. The present results indicated the need for further studies to compare the efficacy and safety of epidural ketamine with the response to epidural opioids for the relief of posto- perative pain.
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