0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Subarachnoid Alcohol Block in the Management of Pain of Malignant Disease

D. M. PERESE, M.D.
AMA Arch Surg. 1958;76(3):347-354. doi:10.1001/archsurg.1958.01280210017003.
Text Size: A A A
Published online

Subarachnoid alcohol block is a method meriting the attention of every physician who wishes to control the pain in patients with malignant disease.

In the 1930's, initial reports describing the technique and indications for the procedure were made by Dogliotti,8 Abraham,2 Pitts,27 Groff,15 Owings,24 Saltzstein,31 and Stern.32,33 At the same time, papers by Olmsted22 and Labat18 outlined the mechanism of the action of the alcohol on the nerves.

However, serious complications resulted from the use of subarachnoid alcohol block,4,6,11,23,26,36 and it was difficult to obtain analgesia for longer than six weeks. Therefore, after this period, neurosurgical measures (rhizotomy, tractotomy, lobotomy, etc.) were used to a greater extent than previously to control pain caused by malignant lesions. Table 1 summarizes the significant publications dealing with alcohol block over the past 20 years.

Recently the literature has reflected a new trend, a

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();