%0 Journal Article %T Analgesia epidural en dolor cr¨®nico oncol¨®gico refractario %A Ram¨ªrez %A Lizeth Jazm¨ªn %A Santacruz %A Juan Guillermo %A Arteaga %A Carlos %J Acta Medica Colombiana %D 2011 %I Asociacion Colombiana de Medicina Interna %X adequate management of pain is an important goal in cancer patients undergoing end-of-life palliative treatment and symptom management. however, adequate pain control is not always easy, and it is not uncommon for patients to face up to severe pain despite a multimodal treatment including the use and rotation of opiates as analgesic strategy. invasive analgesic procedures such as infusion of local anesthetics and opiates through an epidural catheter can be a therapeutic strategy for the management of these patients with refractory chronic cancer pain, and must be considered in special cases (acta med colomb 2011; 36: 36-37). %K palliative care %K pain %K analgesia %K epidural %K pain %K medical oncology. %U http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0120-24482011000100007&lng=en&nrm=iso&tlng=en