Aberrant intrathecal pump refill: ultrasound-guided aspiration of a substantial quantity of subcutaneous hydromorphone.
Reg Anesth Pain Med
; 38(6): 544-6, 2013.
Article
en En
| MEDLINE
| ID: mdl-24121607
ABSTRACT
Intrathecal drug delivery systems are an effective and increasingly common pain treatment modality for certain patient populations. Pumps are surgically inserted in a subcutaneous abdominal pocket and refilled with highly concentrated medication at regular intervals. Inadvertent injection of medication outside the pump is a known complication of the refill procedure. We describe the injection of hydromorphone into the pump's surrounding subcutaneous pocket, subsequent opioid overdose, and the novel application of ultrasound to visualize and aspirate the subcutaneous drug. Ultrasonography can be used as an effective modality for rapid diagnosis and treatment of an accidental pocket fill.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Succión
/
Bombas de Infusión Implantables
/
Ultrasonografía Intervencional
/
Hidromorfona
/
Infusión Espinal
/
Sobredosis de Droga
/
Analgésicos Opioides
/
Errores de Medicación
Tipo de estudio:
Etiology_studies
Límite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Reg Anesth Pain Med
Asunto de la revista:
ANESTESIOLOGIA
/
NEUROLOGIA
/
PSICOFISIOLOGIA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Marruecos