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Palliative Medicine
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The use of epidural morphine at a palliative care centre

Stig Ottesen

Palliative Medicine, Sir Michael Sobell House, Oxford

Michael Minton

Palliative Medicine, Sir Michael Sobell House, Oxford

Robert G. Twycross

Palliative Medicine, Sir Michael Sobell House, Oxford

Four cases are reported where pain control was achieved with epidural morphine after failure with oral morphine. The indications were unacceptable adverse effects with oral morphine or morphine resistant pain. The rationale for the use of the epidural route is discussed. We believe that there is a place for epidural analgesia in selected patients at palliative care centres. Nurses need training in epidural drug administration to enable them to be involved in this form of treatment.

Key Words: analgesia • bupivacaine • epidural space • morphine • neoplasms • pain

Palliative Medicine, Vol. 4, No. 2, 117-122 (1990)
DOI: 10.1177/026921639000400209
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