Analgesia epidural en dolor crónico oncológico refractario

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).