Errors and limitations of the multimodality checking methods of defective spinal intrathecal pump systems. Case report.

Details

Serval ID
serval:BIB_07427C845DED
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Errors and limitations of the multimodality checking methods of defective spinal intrathecal pump systems. Case report.
Journal
Paraplegia
Author(s)
Schurch B.
ISSN
0031-1758 (Print)
ISSN-L
0031-1758
Publication state
Published
Issued date
1993
Volume
31
Number
9
Pages
611-615
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Abstract
The loss of benefit from intrathecal baclofen, with increased spasticity and a discrepancy between the residual and the calculated volume content (underinfusion), made us suspect dysfunction of the intrathecal baclofen infusion in a paraplegic patient. Although all possible usual checking methods were used, no failure in the drug administration device (DAD) could be found. Despite some benefit from increasing the daily dose of baclofen, it has not been possible to control the spastic symptoms. Surgery was therefore decided upon, and a small leak at the end of the catheter tip was discovered. Surgeons and physicians should be aware that checking methods of DAD cannot exclude failure of the system. Their errors and limitations are discussed.
Keywords
Adult, Baclofen/administration & dosage, Baclofen/therapeutic use, Equipment Failure, Humans, Infusion Pumps, Implantable, Injections, Spinal/instrumentation, Male, Muscle Spasticity/drug therapy, Muscle Spasticity/etiology, Spinal Cord Injuries/complications, Spinal Cord Injuries/drug therapy
Pubmed
Web of science
Open Access
Yes
Create date
05/11/2014 12:13
Last modification date
20/08/2019 12:29
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