Abstract
We describe four cases in which interpleural analgesia has been used to treat pain arising from malignancy of the lung or pleura. Three out of the four patients had an improvement in pain control as assessed by the EORTC QLQ-C30 quality of life questionnaire. Analgesia appeared to become less effective with disease progression. This may be due to inhibited spread of local anaesthetic solution in the interpleural space since correct catheter placement was reconfirmed using fluoroscopy. Careful selection of patients in earlier stages of the disease process may increase usefulness of the technique.
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