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ORIGINAL ARTICLE
Year : 2008  |  Volume : 4  |  Issue : 2  |  Page : 60-63

Epidural analgesia during brachytherapy for cervical cancer patients


1 Department of Radiotherapy, M.S. Ramaiah Teaching Hospital, Gokul, Bangalore, India
2 Department of Anaesthesiology, M.S. Ramaiah Teaching Hospital, Gokul, Bangalore, India

Correspondence Address:
M G Janaki
Department of Radiotherapy, M.S. Ramaiah Medical Teaching Hospital, Gokul, Bangalore - 560 054
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.40825

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Aims: To find out the efficacy of epidural analgesia in providing continuous pain relief for patients undergoing brachytherapy for cervical cancer. Settings: Teaching Hospital. Design: Retrospective Study. Materials and Methods: A total of 152 patients of cervical cancer received epidural analgesia during 18 to 21 hours of pelvic brachytherapy. Epidural top up was given using 60-100 g of buprenorphine every 08-10 hrs. Additional top up or systemic analgesics were given for breakthrough pain. Results: Majority of patients 119 out of 152 received epidural top up twice during their stay in the brachytherapy ward. Only 20 out of 152 needed additional analgesics. Conclusions: Epidural analgesia is safe and provides satisfactory pain relief during brachytherapy and makes patient's stay more comfortable.


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