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Intrathecal drug delivery systems complication
From WikEM
Contents
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:
- Respiratory depression from medication overdose
- Infection
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
