Skip to main content
Journal of the National Medical Association logoLink to Journal of the National Medical Association
letter
. 1987 Mar;79(3):305–311.

The Infusaid Pump in the Management of Intractable Cancer Pain

D'Orsay D Bryant III, Robert L DeWitty Jr, Gary C Dennis
PMCID: PMC2571504  PMID: 3573060

Abstract

At Howard University Hospital, nine terminally ill cancer patients with chronic pain have been treated with continuous intrathecal infusion of morphine delivered by the implantable Infusaid pump. The case of a patient treated at Howard University Hospital with this method of pain management is presented. Following Infusaid pump insertion, the patient lived for 22 months and obtained substantial relief of his cancer pain with no adverse side effects.

Full text

PDF
305

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bonica J. J. Management of cancer pain. Acta Anaesthesiol Scand Suppl. 1982;74:75–82. doi: 10.1111/j.1399-6576.1982.tb01852.x. [DOI] [PubMed] [Google Scholar]
  2. Buchwald H., Rohde T. D. Implantable infusion pumps. Adv Surg. 1984;18:177–221. [PubMed] [Google Scholar]
  3. Caputi C. A., Busca G., Fogliardi F., Giugliano F. Evaluation of tolerance in long-term treatment of cancer pain with epidural morphine. Int J Clin Pharmacol Ther Toxicol. 1983 Nov;21(11):587–590. [PubMed] [Google Scholar]
  4. Citron M. L., Johnston-Early A., Fossieck B. E., Jr, Krasnow S. H., Franklin R., Spagnolo S. V., Cohen M. H. Safety and efficacy of continuous intravenous morphine for severe cancer pain. Am J Med. 1984 Aug;77(2):199–204. doi: 10.1016/0002-9343(84)90691-0. [DOI] [PubMed] [Google Scholar]
  5. Cleeland C. S. The impact of pain on the patient with cancer. Cancer. 1984 Dec 1;54(11 Suppl):2635–2641. doi: 10.1002/1097-0142(19841201)54:2+<2635::aid-cncr2820541407>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  6. Cohen A. M., Wood W. C., Bamberg M., Risaliti A., Poletti C. Continuous canine epidural morphine analgesia with an implanted drug infusion pump. J Surg Res. 1982 Jan;32(1):32–37. doi: 10.1016/0022-4804(82)90181-0. [DOI] [PubMed] [Google Scholar]
  7. Coombs D. W., Saunders R. L., Gaylor M. S., Block A. R., Colton T., Harbaugh R., Pageau M. G., Mroz W. Relief of continuous chronic pain by intraspinal narcotics infusion via an implanted reservoir. JAMA. 1983 Nov 4;250(17):2336–2339. [PubMed] [Google Scholar]
  8. Dennis E. M. An ambulatory infusion pump for pain control: a nursing approach for home care. Cancer Nurs. 1984 Aug;7(4):309–313. [PubMed] [Google Scholar]
  9. Fanslow J. Pain needs of cancer patients. J Pract Nurs. 1985 Jun;35(2):41-6, 64. [PubMed] [Google Scholar]
  10. Foley K. M. The treatment of cancer pain. N Engl J Med. 1985 Jul 11;313(2):84–95. doi: 10.1056/NEJM198507113130205. [DOI] [PubMed] [Google Scholar]
  11. Greenberg H. S., Taren J., Ensminger W. D., Doan K. Benefit from and tolerance to continuous intrathecal infusion of morphine for intractable cancer pain. J Neurosurg. 1982 Sep;57(3):360–364. doi: 10.3171/jns.1982.57.3.0360. [DOI] [PubMed] [Google Scholar]
  12. Hannon D., Wrobel S., Dennis E. Pain; portable relief for terminal patients. RN. 1985 Jan;48(1):37–38. [PubMed] [Google Scholar]
  13. Harbaugh R. E., Coombs D. W., Saunders R. L., Gaylor M., Pageau M. Implanted continuous epidural morphine infusion system. Preliminary report. J Neurosurg. 1982 Jun;56(6):803–806. doi: 10.3171/jns.1982.56.6.0803. [DOI] [PubMed] [Google Scholar]
  14. Krames E. S., Gershow J., Glassberg A., Kenefick T., Lyons A., Taylor P., Wilkie D. Continuous infusion of spinally administered narcotics for the relief of pain due to malignant disorders. Cancer. 1985 Aug 1;56(3):696–702. doi: 10.1002/1097-0142(19850801)56:3<696::aid-cncr2820560343>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  15. Leavens M. E., Hill C. S., Jr, Cech D. A., Weyland J. B., Weston J. S. Intrathecal and intraventricular morphine for pain in cancer patients: initial study. J Neurosurg. 1982 Feb;56(2):241–245. doi: 10.3171/jns.1982.56.2.0241. [DOI] [PubMed] [Google Scholar]
  16. Lund P. C. The role of analgesic blocking in the management of cancer pain: current trends. a review article. J Med. 1982;13(3):161–182. [PubMed] [Google Scholar]
  17. Malone B. T., Beye R., Walker J. Management of pain in the terminally ill by administration of epidural narcotics. Cancer. 1985 Jan 15;55(2):438–440. doi: 10.1002/1097-0142(19850115)55:2<438::aid-cncr2820550224>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  18. McGivney W. T., Crooks G. M. The care of patients with severe chronic pain in terminal illness. JAMA. 1984 Mar 2;251(9):1182–1188. [PubMed] [Google Scholar]
  19. Miser A. W., Davis D. M., Hughes C. S., Mulne A. F., Miser J. S. Continuous subcutaneous infusion of morphine in children with cancer. Am J Dis Child. 1983 Apr;137(4):383–385. doi: 10.1001/archpedi.1983.02140300061017. [DOI] [PubMed] [Google Scholar]
  20. Onofrio B. M., Yaksh T. L., Arnold P. G. Continuous low-dose intrathecal morphine administration in the treatment of chronic pain of malignant origin. Mayo Clin Proc. 1981 Aug;56(8):516–520. [PubMed] [Google Scholar]
  21. Penn R. D. Drug pumps for treatment of neurologic diseases and pain. Neurol Clin. 1985 May;3(2):439–451. [PubMed] [Google Scholar]
  22. Penn R. D., Paice J. A., Gottschalk W., Ivankovich A. D. Cancer pain relief using chronic morphine infusion. Early experience with a programmable implanted drug pump. J Neurosurg. 1984 Aug;61(2):302–306. doi: 10.3171/jns.1984.61.2.0302. [DOI] [PubMed] [Google Scholar]
  23. Rodan B. A., Cohen F. L., Bean W. J., Martyak S. N. Fibrous mass complicating epidural morphine infusion. Neurosurgery. 1985 Jan;16(1):68–70. [PubMed] [Google Scholar]
  24. Spross J. A. Cancer pain and suffering: clinical lessons from life, literature and legend. Oncol Nurs Forum. 1985 Jul-Aug;12(4):23–31. [PubMed] [Google Scholar]
  25. Taddeini L., Rotschafer J. C. Pain syndromes associated with cancer. Achieving effective relief. Postgrad Med. 1984 Jan;75(1):101–108. doi: 10.1080/00325481.1984.11698558. [DOI] [PubMed] [Google Scholar]
  26. Twycross R. G. Ethical and clinical aspects of pain treatment in cancer patients. Acta Anaesthesiol Scand Suppl. 1982;74:83–90. [PubMed] [Google Scholar]
  27. Wang J. K., Nauss L. A., Thomas J. E. Pain relief by intrathecally applied morphine in man. Anesthesiology. 1979 Feb;50(2):149–151. doi: 10.1097/00000542-197902000-00013. [DOI] [PubMed] [Google Scholar]
  28. Yablonski-Peretz T., Klin B., Beilin Y., Warner E., Baron S., Olshwang D., Catane R. Continuous epidural narcotic analgesia for intractable pain due to malignancy. J Surg Oncol. 1985 May;29(1):8–10. doi: 10.1002/jso.2930290104. [DOI] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES