Intrathecal drug delivery system complications: Difference between revisions
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==Background== | ==Background== | ||
*used for delivery of short or long acting pain medications into the theca space | |||
Most common Intrathecal medications | |||
**[[Clonidine]] | |||
**[[Bupivacaine]] | |||
**[[Morphine]] | |||
**[[Hydromorphone]] | |||
**[[Fentanyl]] | |||
**[[Baclofen]] | |||
**[[Ziconotide]] | |||
==Clinical Features== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Complications: | |||
#Respiratory depression from medication overdose | |||
#Infection | |||
==Diagnosis== | ==Diagnosis== | ||
==Management== | ==Management== | ||
*The device is not removed in an overdose but should be turned off. | |||
*Insertion of a 22-guage needle into the pump reservoir can remove all medication in case device cannot be turned off | |||
*Consider naloxone to reverse effects taking into account patients chronicity of treatment if they withdrawal | |||
==Disposition== | ==Disposition== | ||
Revision as of 12:41, 20 July 2015
Background
- used for delivery of short or long acting pain medications into the theca space
Most common Intrathecal medications
Clinical Features
Differential Diagnosis
Complications:
- Respiratory depression from medication overdose
- Infection
Diagnosis
Management
- The device is not removed in an overdose but should be turned off.
- Insertion of a 22-guage needle into the pump reservoir can remove all medication in case device cannot be turned off
- Consider naloxone to reverse effects taking into account patients chronicity of treatment if they withdrawal