Case Report

[Retracted] Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain

Table 1

Drug strategies and pain assessment.

DayRest 
(NRS)
BTP 
(NRS)
BTP 
times
Morphine tabletMedicationDose of Opioid 
(mg)
Fentanyl Transdermal patch doseAdjuvant DrugPump Parameter

158≧10/29.4mgTramadol sustained release tablet 100mg,q.d. oral;/140.00
247410mg42.0mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg,Q.N.+ Clonidazepam tablet 2mg, Q.N.;
/153.33
347410mg42.0mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.;
/210.00
447310mg42.0mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.+ Ketorolac Tromethamine
Injection 30mg/Nacl 100ml,Ivgtt,t.i.d.;
/213.33
547420mg42mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.+ Ketorolac Tromethamine
Injection 30mg/Nacl 100ml,Ivgtt,t.i.d.;
/220.00
658320mg42mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.+ Ketorolac Tromethamine
Injection 30mg/Nacl 100ml,Ivgtt,t.i.d.;
/226.67
758320mg42mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.+ Ketorolac Tromethamine
Injection 30mg/Nacl 100ml,Ivgtt,t.i.d.;
Con:0 ml/h,Bolus:0.8ml226.67
8548/33.6mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.+ Ketorolac Tromethamine
Injection 30mg/Nacl 100ml,Ivgtt,t.i.d.;
Con:0.3ml/h,Bolus:1.0ml201.6
9378/33.6mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.;
Con:0.3ml/h,Bolus:1.0ml162.55
10163/33.6mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.;
Con;0.3ml/h,Bolus:1.0ml162.80
11154/25.2mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.;
Con:0.3ml/h, Bolus:1.0ml122.80
12144/25.2mgGabapentin capsule 600mg,t.i.d. oral+Dexamethasone injection 5mg, I.V. qd+
Amitriptyline tablet 25mg, Q.N.+ Clonidazepam tablet 2mg, Q.N.;
Con:0.3ml/h, Bolus:1.0ml122.80

According to the equivalent dose of opioid drugs and related efficacy conversion, reduction formulae refer to Adult Cancer Pain<NCCN>.