BACKGROUND The delivery of intrathecal baclofen via pumps is gaining increasing use in the management of intractable spasticity. One of the rare but devastating complications of this method is infection. In the majority of cases, removal of the device is required, despite appropriate intravenous antibiotic therapy. We report a case that highlights the use of intrareservoir teicoplanin to achiev...

Corresponding Author: Andrea Scaramuzza, M.D., Unit of Pediatric Diabetology, Metabolic Disease and Nutrition, Department of Pediatrics, University of Milano Luigi Sacco Hospital, Via Giovanni Battista Grassi 74, 20157 Milano, Italy; email address [email protected] It is well established that insulin pump therapy [continuous subcutaneous insulin infusion (CSII)] has several advantages...

Insulin pump therapy, or continuous subcutaneous insulin infusion, has become an increasingly popular mode of therapy for patients with type 1 diabetes mellitus. Although the benefits of insulin pump therapy, such as less glycemic variability and a more flexible lifestyle, should be similar for patients with type 1 and type 2 diabetes mellitus, data on the use of insulin pump therapy in patient...

BACKGROUND This randomized, double-blinded, placebo-controlled study investigated the efficacy of patient-controlled regional analgesia using an infraclavicular brachial plexus perineural catheter and a portable infusion pump for outpatients undergoing moderately painful, upper extremity orthopedic surgery. METHODS Preoperatively, patients (n = 30) received an infraclavicular nerve block and ...

BACKGROUND Researchers at the Food and Drug Administration (FDA)/Center for Device and Radiological Health/Office of Science and Engineering Laboratories have been exploring the concept of model-based engineering as a means for improving the quality of medical device software. Insulin pumps were chosen as a research subject because their design provides the desired degree of research complexity...

10 P&T® • January 2011 • Vol. 36 No. 1 sponse. The patient was then taken to a nearby hospital for admission to a criticalcare unit. When the transport team arrived, one of the paramedics reviewed the patient’s IV infusions and, per protocol, independently calculated the rate of infusion for each. While reviewing the pump settings, the paramedic noticed that the dopamine dose had been programme...