faculty

Publications

Epidural analgesia during brachytherapy for cervical cancer patients

Groups and Associations M G Janaki, S Nirmala, Amrit R Kadam, B S Ramesh, K S Sunitha
Journal of Cancer Research and Therapeutics 2008

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 microg 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.