The Accuracy of Template‐Guided Refill Technique of Intrathecal Pumps Controlled by Fluoroscopy: An Observational Study

Intrathecal drug therapy is being utilized increasingly for the treatment of chronic refractory pain. However, performing the regular pump refill procedures caries the potential risk of medication injection into the subcutaneous tissue. The aim of this study was to assess the accuracy of this template‐guided refill technique by means of fluoroscopic evaluation.

[1]  R. Chan,et al.  Ultrasound-guided refilling of an intrathecal baclofen pump—a case report , 2013, Child's Nervous System.

[2]  M. Vloeberghs,et al.  Intrathecal baclofen therapy--how we do it. , 2012, Journal of neurosurgery. Pediatrics.

[3]  M. Saulino,et al.  Polyanalgesic Consensus Conference—2012: Recommendations to Reduce Morbidity and Mortality in Intrathecal Drug Delivery in the Treatment of Chronic Pain , 2012, Neuromodulation : journal of the International Neuromodulation Society.

[4]  M. Saulino,et al.  Polyanalgesic Consensus Conference 2012: Recommendations for the Management of Pain by Intrathecal (Intraspinal) Drug Delivery: Report of an Interdisciplinary Expert Panel , 2012, Neuromodulation : journal of the International Neuromodulation Society.

[5]  M. Sivan,et al.  Management of acute overdose or withdrawal state in intrathecal baclofen therapy , 2011, Spinal Cord.

[6]  E. Visser,et al.  Massive clonidine overdose during refill of an implanted drug delivery device for intrathecal analgesia: a review of inadvertent soft-tissue injection during implantable drug delivery device refills and its management. , 2011, Pain medicine.

[7]  M. Gofeld,et al.  Ultrasound-guided intrathecal pump access and prevention of the pocket fill. , 2011, Pain medicine.

[8]  R. Coffey,et al.  Medical practice perspective: identification and mitigation of risk factors for mortality associated with intrathecal opioids for non-cancer pain. , 2010, Pain medicine.

[9]  R. Coffey,et al.  Mortality Associated with Implantation and Management of Intrathecal Opioid Drug Infusion Systems to Treat Noncancer Pain , 2009, Anesthesiology.

[10]  M. Saulino,et al.  Intrathecal Baclofen Therapy: An Update , 2009, PM & R : the journal of injury, function, and rehabilitation.

[11]  Thomas J. Smith,et al.  Massive hydromorphone dose delivered subcutaneously instead of intrathecally: guidelines for prevention and management of opioid, local anesthetic, and clonidine overdose. , 2004, Journal of pain and symptom management.

[12]  C. Frye,et al.  Hypertensive Crisis and Myocardial Infarction following Massive Clonidine Overdose , 2000, The Annals of pharmacotherapy.

[13]  C. Wu,et al.  Accidental overdose of systemic morphine during intended refill of intrathecal infusion device. , 1992, Anesthesia and analgesia.

[14]  E. Buchser,et al.  Severe Hypertension Following Accidental Clonidine Overdose During the Refilling of an Implanted Intrathecal Drug Delivery System , 2012, Neuromodulation : journal of the International Neuromodulation Society.