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
*used for delivery of short or long acting pain medications into the theca space
Most common Intrathecal medications
*Most common Intrathecal medications
**[[Clonidine]]
**[[Clonidine]]
**[[Bupivacaine]]
**[[Bupivacaine]]

Revision as of 12:41, 20 July 2015

Background

Clinical Features

Differential Diagnosis

Complications:

  1. Respiratory depression from medication overdose
  2. 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

Disposition

See Also

External Links

References