Loss of effectiveness with an implanted drug delivery system for intrathecal pain therapy due to corrosion

被引：0
|
作者：
Reining, Marco [1 ,3 ]
Kretzschmar, Michael [1 ,2 ]
机构：
[1] Dept Pain Med & Palliat Care, SRH Wald Klinikum Gera GmbH, Gera, Germany
[2] SRH Univ Appl Hlth Sci, Gera, Germany
[3] SRH Wald Klinikum Gera GmbH, Dept Pain Med & Palliat Care, Str Friedens 122, D-07549 Gera, Germany
来源：
PAIN PRACTICE | 2023年 / 23卷 / 04期
关键词：
corrosion; implantable infusion pumps; intrathecal drug delivery system; opioid analgesics; CONFERENCE PACC RECOMMENDATIONS; MORPHINE THERAPY; COMPLICATIONS; CATHETER; MALFUNCTION;
D O I：
10.1111/papr.13187
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
IntroductionIntrathecal drug delivery is an established invasive treatment option. Most common complication is catheter malfunction, which can lead to overdose or withdrawal. Case PresentationA 61-year-old female patient underwent an elective replacement of an intrathecal drug delivery pump. The patient complained about a loss of effectiveness over the past 2 years. Intraoperatively, a white mass corresponding to morphine precipitation in the pump pocket was found, which appeared to be due to corrosion at the pump-catheter connection site. ConclusionsRecommendations on how to deal with the decreasing effectiveness of intrathecal drug delivery and on intraoperative catheter handling are provided.
引用
收藏
页码：459 / 462
页数：4
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