Epidural anaesthesia for surgery in advanced cancer

Abstract

Patients with advanced cancer often present for surgery in a very poor clinical state. We report the use of epidural bupivacaine anaesthesia for surgical excision of a tumor and subsequent continuous infusion of bupivacaine and fentanyl for postoperative pain management in a 46 year old man with advanced sarcoma of the left thigh, cannon ball secondary deposits in the lungs and haemoptysis.

Keywords: Epidural, Anaesmesia, Surgical, Advanced Carcinoma.