Intrathecal morphine pump malfunction due to leakage at the catheter connection site: a rare problem and its prevention.
نویسندگان
چکیده
Eur J Aneasthesiol Suppl 1997;15:17–20 7. Soar SJ, Smith MB, Soar J, Morris PJ. Does glycine antagonism underlie the excitatory effects of propofol and methohexitone? Br J Anaesth 1992;68:523–6 8. Walder B, Tramèr MR, Seem M. Seizurelike phenomena and propofol. A systematic review. Neurology 2002;58:1327–32 9. Wang B, Bai Q, Jiao W, Wang E, White PF. Effect of sedative and hypnotic doses of propofol on the EEG activity of patients with or without a history of seizure disorders. J Neurosurg Anesthesiol 1997;7:335–40
منابع مشابه
Intrathecal drug administration in chronic pain syndromes.
Chronic pain may recur after initial response to strong opioids in both patients with cancer and patients without cancer or therapy may be complicated by intolerable side effects. When minimally invasive interventional pain management techniques also fail to provide satisfactory pain relief, continuous intrathecal analgesic administration may be considered. Only 3 products have been officially ...
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BACKGROUND Some patients with reflex sympathetic dystrophy (RD) develop intractable symptoms unresponsive to conventional therapy. Recently, intrathecal morphine therapy has been used with some success in such patients. METHODS The clinical course of two patients with intractable reflex sympathetic dystrophy (RSD) is described. Both patients developed intractable leg pain, swelling and autono...
متن کاملSpinal cord compression secondary to intrathecal catheter–induced granuloma: a report of four cases
OBJECTIVE The management of nonmalignant pain by morphine pump implantation has become an effective and increasingly frequent strategy of care. We report a rare complication of intrathecal granuloma formation adjacent to the intrathecal catheter tip resulting in spinal cord compression in four patients undergoing intrathecal treatment for chronic pain. METHODS Four patients presented with chr...
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BACKGROUND Increased spasms in spinal cord injury (SCI) patients, whose spasticity was previously well controlled with intrathecal baclofen therapy, are due to (in order of frequency) drug tolerance, increased stimulus, low reservoir volume, catheter malfunction, disease progression, human error, and pump mechanical failure. We present a SCI patient, in whom bladder calculi acted as red herring...
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Intrathecal drug delivery systems are becoming an increasingly common modality used by physicians to treat patients. Specifically, chronic spasticity secondary to multiple sclerosis (MS) may be treated with intrathecal baclofen (ITB) therapy when oral antispasmodics do not provide adequate relief. ITB therapy is effective, localizes drug delivery, and does not have the same degree of intolerabl...
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عنوان ژورنال:
- Anesthesia and analgesia
دوره 108 6 شماره
صفحات -
تاریخ انتشار 2009