Long-term analgesia with epidural @entity1286 (EM) is a new tool in the management of intractable @entity5 . Twenty-six out of 160 @entity5 @entity1 referred to the @entity158 Division for @entity158 assessment were selected for analgesia with long-term epidural @entity1286 , so aiming to define its place amongst more traditional methods of treatment, such as drugs, nerve-blocks, neurosurgery or radiotherapy. All 26 @entity1 were cases of conventional analgesic failure, with very advanced @entity5 states. Thirteen @entity1 became @entity158 free throughout the treatment period: five of them were even allowed home. Another ten @entity1 were satisfied with EM, though some residual @entity3825 persisted. In three @entity1 , epidural @entity1286 was judged as a complete failure. The 134 other @entity1 could be managed with either of the other above mentioned techniques. The most important selection criterion for @entity1 requiring epidural @entity1286 seemed to be continuous multiple site bilateral @entity158 of deep somatic origin. The response was variable in continuous @entity3825 , while neurogenic, cutaneous and intermittent @entity158 due to @entity1321 responded only exceptionally. EM was most valuable in terminal situations when systemic opiates failed to give satisfactory analgesia, or in acute transitory situations, while waiting for a response to @entity5 -orientated therapy. Epidural @entity1286 considerably improved the @entity1 ' quality of life, compared with conventional methods tried beforehand. Analgesic methods in @entity5 are palliative procedures. In terminal or temporary situations, other more invasive methods are not suited. The EM technique is simple, adjustable to advancing @entity158 and has few side-effects, especially when compared with neurolytic and neurosurgical procedures.

[Peridural XXXX in intractable @entity5 pains. Means and obstacles].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'cancer pain'] @entity3825 :: ('MESH:D059265', 'Disease') :: ['pain of neurogenic and visceral type', 'visceral pain'] @entity1321 :: ('MESH:D007415', 'Disease') :: ['intestinal obstruction'] @entity158 :: ('MESH:D010146', 'Disease') :: ['absolutely pain', 'Pain', 'pain'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine']
@entity1286 :: (MESH:D009020,Chemical) :: ['morphine']
