Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Ultrasound-guided pericapsular nerve group and obturator nerve phenol neurolysis for refractory inpatient hip cancer metastasis pain: a case report

2021; Elsevier BV; Volume: 74; Issue: 1 Linguagem: Inglês

10.1016/j.bjane.2021.02.037

2352-2291

Marcio V. Pimenta, Amanda T. Nakamura, Hazem A. Ashmawi, Joaquim Edson Vieira, Hermann dos Santos Fernandes,

Pain Management and Opioid Use

Bone cancer metastasis may produce severe and refractory pain. It is often difficult to manage with systemic analgesics. Chemical neurolysis may be an effective alternative in terminally ill patients. Female terminally ill patient with hip metastasis of gastric cancer in severe pain. Neurolytic ultrasound-guided blocks of the pericapsular nerve group and obturator nerve were performed with 5% phenol. This led to satisfactory pain relief for 10 days, until the patient's death. This approach may be effective and safe as an analgesic option for refractory hip pain due to metastasis or pathologic fracture in terminally ill patients.