Intrathecal drug delivery system complications: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
Complications: | Complications: | ||
*Overdose of medication, see: | |||
**[[Opioid toxicity]] | |||
**[[Clonidine toxicity]] | |||
**[[Local anesthetic toxicity]] | |||
**[[Baclofen toxicity]] | |||
**[[Respiratory failure|Respiratory depression]] is feared effect of most | |||
*[[Infection]] | |||
**Local [[cellulitis]] | |||
**[[Meningitis]] | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 03:36, 3 October 2019
Background
- Used for delivery of short or long acting pain or anti-spasmodic medications into the thecal space
- Allows for smaller doses and fewer systemic side effects
- Most common Intrathecal medications
Clinical Features
Differential Diagnosis
Complications:
- Overdose of medication, see:
- Opioid toxicity
- Clonidine toxicity
- Local anesthetic toxicity
- Baclofen toxicity
- Respiratory depression is feared effect of most
- Infection
- Local cellulitis
- Meningitis
Evaluation
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