Indian Journal of Palliative Care
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 CASE REPORT
Year : 2018  |  Volume : 24  |  Issue : 1  |  Page : 115--116

Intravenous lignocaine infusion for intractable pain in Ewing's sarcoma


Cipla Palliative Care and Training Centre, Pune, Maharashtra, India

Correspondence Address:
Dr. Nivedita Page
Cipla Palliative Care and Training Center, S. No. 118/1, Off Mumbai-Bangalore Highway, Warje, Pune - 411 058, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPC.IJPC_125_17

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A 23-year-old female presented to our palliative care center with Ewing's sarcoma of the humerus with lung metastases. Pain in her arm was unrelieved by nonsteroidal anti-inflammatory drugs, neuropathic medication as well as morphine. She could not tolerate any further increase in opioid dose but was so distraught due to the pain that she wanted to die. An intravenous lignocaine infusion in a dose of 2 mg/kg was given over an hour for three successive days. This successfully relieved her pain after which she was settled with her original medication. We feel that in palliative care settings, where intractable pain and tolerance to morphine are so common, intravenous lignocaine infusions could provide a safe and effective tool for pain relief.






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Online since 1st October '05
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