Pemberian Analgetik Epidural Lumbal Kontinu sebagai Tatalaksana Nyeri Kanker dengan Metastasis

  • Mahmud Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Ratih Kumala RSUP Dr. Sardjito Yogyakarta
  • Erry Alamsyah Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
DOI: https://doi.org/10.22146/jka.v10i3.7353
Keywords: epidural analgetic, continuous lumbar epidural, cancer pain

Abstract

Pain is the most common symptom of cancer patients. Pain in cancer patients is mainly caused by cancer
progressivity and tissue necrosis. Management of chronic pain needs considerable high socioeconomic costs. As an alternative for chronic pain management, a continuous infusion of local anesthetics via epidural catheter is recommended to alleviate chronic pain which caused by cancer pain in certain concentration that can relieve pain. We report 3 cases of patients with cancer pain related to metastatic process. All three patients had previously prescribed with oral opioids and fentanyl patches, which were inadequate in eliminating pain. In all these three patients, lumbal epidural catheter was placed and continuous local anesthetic drugs were administered in 1-2 ml/hour rate. The local anesthetics solution contains levobupivacaine 0.1%, morphine 0.08 mg/ml and klonidin 1.2 mg/ml.

Author Biographies

Mahmud, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Ratih Kumala , RSUP Dr. Sardjito Yogyakarta

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Erry Alamsyah, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Published
2023-08-01
How to Cite
Mahmud, Kumala , R., & Alamsyah, E. (2023). Pemberian Analgetik Epidural Lumbal Kontinu sebagai Tatalaksana Nyeri Kanker dengan Metastasis. Jurnal Komplikasi Anestesi, 10(3), 29-43. https://doi.org/10.22146/jka.v10i3.7353
Issue
Vol 10 No 3 (2023): Volume 10 Number 3 (2023)
Section
Articles

Copyright (c) 2023 Mahmud, Ratih Kumala , Erry Alamsyah

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