Where are baclofen pumps placed?
The baclofen pump is implanted using a surgical procedure performed while your child is under general anesthesia. The pump is a round metallic disc, about 3 inches across and 1 inch thick. It is typically placed just beneath the skin of the abdomen, to the left or right of the belly button.
What is the correct placement of an intrathecal catheter?
The catheter runs beneath the skin from the intrathecal space in the space around to the front of the chest where it is attached to the port. Since the entire device is placed under the skin, the risk of infection is greatly reduced.
How long does baclofen pump replacement surgery take?
If you and your child’s doctors decide that a baclofen pump is appropriate, the surgery is usually performed the day after the trial. Surgery lasts about 2 to 3 hours.
Where is the intrathecal space?
Describes the fluid-filled space between the thin layers of tissue that cover the brain and spinal cord.
How is intrathecal baclofen administered?
Baclofen is usually taken by mouth several times per day. Intrathecal baclofen therapy (ITB) consists of delivering a liquid form of baclofen into the spinal fluid, using a device called a baclofen pump. ITB is approved by the FDA for the treatment of severe spasticity.
How do you place an intrathecal pain pump?
Intrathecal drug pain pump procedure To implant the device, our neurosurgeons make a small incision in the back to place the catheter in the affected area of the spine. Then an extension catheter is passed under the skin from the spine around the torso to the abdomen where the pump is implanted.
Is a baclofen pump a pain pump?
Baclofen is a muscle relaxant medicine commonly used to decrease spasticity related to multiple sclerosis, spinal cord injuries, or other neurological diseases. An intrathecal delivery system, which provides the baclofen right to the target site in the spinal cord, is an effective way to deliver the medicine.
How much does a baclofen pump cost?
The cost per QALY ranged from $10,550 to $19,560, an acceptable ratio compared to other interventions. Early symptoms of baclofen withdrawal may include return of baseline spasticity, pruritus, hypotension and paresthesias.
What is intrathecal baclofen?
Intrathecal baclofen is used to help relax certain muscles in your body. It relieves the spasms, cramping, and tightness of muscles caused by medical problems such as multiple sclerosis, cerebral palsy, or certain injuries to the spine.
What is the maximum volume for intrathecal injection?
Intrathecal formulations are sterile isotonic drug solutions. The volume of intrathecal injections ranges from 0.5ml to 5ml.
Is baclofen intrathecal?
What is the most common potential complication of intrathecal baclofen therapy?
The Department of Rehabilitation at Children’s Hospital of Colorado also reports a complication rate of about 10%, according to Kim Sawyer, CPNP, who works directly with pediatric patients who have a baclofen pump. “Our most common complication is catheter obstruction.
Do baclofen pumps beep?
PUMP ALARMS Your pump will sound an alarm if there is a problem, it needs to be replaced, or it needs to be filled with Lioresal® Intrathecal (baclofen injection). There are two different alarms. Learn what each one means, and what to do if you hear it.
What should I expect after baclofen pump?
After the Procedure After surgery, you’ll feel some discomfort and tenderness at the pump and catheter sites. Your doctor may prescribe medication to relieve any pain caused by surgery and antibiotics to prevent infection. Tell your doctor if you notice any swelling, pain, or redness near your incision.
Can you exercise with a baclofen pump?
You can go back to the exercises and stretches that you did before your surgery, except for hamstring stretching. If you had your baclofen pump placed to improve your mobility, you should participate in outpatient physical and/or occupational therapy.
What is involved in the management of a baclofen pump?
What is involved in the management of a baclofen pump? The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by a trained healthcare professional who possesses the equipment needed. The pump is refilled by inserting a needle through the skin into a refill port on the pump.
What is an intrathecal baclofen pump?
Intrathecal Baclofen Pump. Baclofen is a muscle relaxant medicine commonly used to decrease spasticity related to multiple sclerosis, spinal cord injuries, or other neurological diseases. An intrathecal delivery system, which provides the baclofen right to the target site in the spinal cord, is an effective way to deliver the medicine.
How do I know when the pump is low on baclofen?
The pump has two notification alarms: A short sequence sounds once per hour when the amount of baclofen in the pump is low and a refill is due.
How is intrathecal baclofen used for spasticity?
When spasticity affects only a few muscles, local injections of botulinum toxin can be helpful. When spasticity is diffuse and severe, intrathecal baclofen (Lioresal®) (ITB) may be a good treatment option. What is baclofen? Baclofen is one of the medications most commonly used to treat spasticity.