Spinal Port Catheter Application (Morphine Pump)

Cerebrospinal fluid is found in the brain and spinal cord. The presence of this fluid in the spinal cord provides physicians with the opportunity for spinal anesthesia and provides an advantage in preventing many pains. By administering some medications into the cerebrospinal fluid, many or all of the pain experienced can be relieved completely or most of the time. This process takes place in the spinal cord. It can be administered as a single dose or for a certain period of time by inserting a catheter.

Opioid drugs are used intrathecally to relieve the severe and chronic pain experienced by patients in the final stages of cancer. Permanent port systems are placed and opioid drugs are connected to the opioid receptors located in the dorsal root horn of the spinal cord. In this way, a permanent analgesia is created and the patient is relieved of pain.

Kanser hastalığının son dönemlerinde hastaların yaşadığı şiddetli ve kronik ağrıların dindirilmesi için intratekal olarak opioid ilaçlar kullanılmaktadır. Kalıcı port sistemleri yerleştirilir ve omuriliğin arka kök boynuzunda yer alan opioid reseptörlerine opioid ilaçlarının bağlanması sağlanır. Bu sayede kalıcı bir analjezi oluşturularak hasta ağrılarından kurtulur.

Since the procedure is performed sterilely under operating room conditions, the necessary consent is first obtained from the patient. Afterwards, the patient is positioned appropriately and the area where the procedure will be performed is determined under the guidance of fluoroscopy. This area usually has appropriate spinal protrusions. The catheter device is inserted into these protrusions with the help of a needle. Then, the needle is removed and the other end of the catheter is advanced subcutaneously to the anterior axillary line. The skin stitching process is completed by adapting the port system attached to the tip of the catheter. In this way, the morphine pump becomes ready to provide long-term analgesic treatment.

If the patient experiences chronic pain as a result of cancer and there is no relief in pain despite many treatments, the morphine pump method can be tried as an interventional treatment. Since the morphine pump is administered intrathecally, permanent or long-term spinal analgesia can be provided.