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The use of epidural ropivacaine in high doses for the management of pain from invasive carcinoma of the cervix
Author(s) -
Harrison G. R.
Publication year - 1999
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.1999.00803.x
Subject(s) - medicine , ropivacaine , cervix , rectum , presentation (obstetrics) , pain management , anesthesia , carcinoma , cancer , cervical carcinoma , surgery , cervical cancer , general surgery
A case is presented of a young woman with advanced cervical cancer invading the rectum and sacral nerves giving rise to an intractable pain state. The management of her symptoms using a domicillary infusion of diamorphine with high doses of ropivacaine is described. It is believed that this is the first presentation of ropivacaine being used in daily doses approaching 2 g, and the associated problems are discussed.