A Case Study in Neuropathic Pain. June 3, 2009 Palliative Care Team Drs. St. Godard, Loiselle, Hohl and Pilkey. Objectives. By the end of the hour the learner will be able to: Define neuropathic pain List at least 2 types of Pain receptors
June 3, 2009
Palliative Care Team
Drs. St. Godard, Loiselle, Hohl and Pilkey
-Performed at root level -“Single shot” -only lasts 12 h.
-Catheter techniques difficult to maintain (displacement).
-Disease extent limits anesthetic flow.
-Risk of bleeding /epidural hematoma is prohibitive in this case.
Intrathecal = Spinal
IV Lidocaine And po Mexilitine
Cochrane Review 2005
(Pommer - J Pain Symptom – 2009)