How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

643 results for

Intrathecal Pump

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain]

[Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] Rey-Ares L, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A, López A Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been (...) made for the HTA database. Citation Rey-Ares L, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A, López A. [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Documentos de Evaluación de Tecnologías Sanitarias, Informe de Respuesta Rapida No 514. 2017 Authors' conclusions Scarce evidence of moderate methodological quality suggests that the use of intrathecal opioids

2017 Health Technology Assessment (HTA) Database.

2. Simultaneous explantation and implantation of intrathecal pumps: a case series. (Abstract)

Simultaneous explantation and implantation of intrathecal pumps: a case series. OBJECTIVEIntrathecal drug delivery devices (IDDDs) are a mainstay in the treatment of spasticity and refractory pain. While these devices have been shown to greatly improve the quality of life for patients, they also have a high perioperative complication and failure rate. A major complication of IDDD implantation is infection. The current standard of care in the treatment of IDDD infection necessitates (...) that the pump be explanted and the infection treated prior to implantation of a new IDDD. This process leads to long hospital stays, interruptions in optimal medical management, and a high risk for dangerous drug withdrawals. The authors describe a technique that allows for the explantation of the infected pump and implantation of a new pump concurrently, which they have named the "Turner Switch" technique in honor of its inventor.METHODSThe authors conducted a retrospective analysis of cases of infected

2019 Journal of Neurosurgery

3. Intrathecal bupivacaine via infusion pump for the management of pain: clinical evidence, safety, and guidelines

Intrathecal bupivacaine via infusion pump for the management of pain: clinical evidence, safety, and guidelines Intrathecal bupivacaine via infusion pump for the management of pain: clinical evidence, safety, and guidelines Intrathecal bupivacaine via infusion pump for the management of pain: clinical evidence, safety, and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation CADTH. Intrathecal bupivacaine via infusion pump for the management of pain: clinical evidence, safety, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions One evidence-based guideline was identified regarding the use of intrathecal bupivacaine administration via infusion pump in patients requiring pain management. Final publication URL Indexing Status Subject indexing

2014 Health Technology Assessment (HTA) Database.

4. [Use of intrathecal pumps for the treatment of chronic non-cancer pain]

[Use of intrathecal pumps for the treatment of chronic non-cancer pain] Utilisation des pompes intrathécales dans le traitement de la douleur chronique non cancéreuse. Efficacité, innocuité, indications cliniques, modalités organisationnelles et coûts [Use of intrathecal pumps for the treatment of chronic non-cancer pain] Utilisation des pompes intrathécales dans le traitement de la douleur chronique non cancéreuse. Efficacité, innocuité, indications cliniques, modalités organisationnelles et (...) coûts [Use of intrathecal pumps for the treatment of chronic non-cancer pain] Fansi A, Lobè C Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Fansi A, Lobè C. Utilisation des pompes intrathécales dans le traitement de la douleur chronique non cancéreuse. Efficacité, innocuité, indications cliniques, modalités organisationnelles et coûts. [Use

2014 Health Technology Assessment (HTA) Database.

5. Intrathecal Bupivacaine via Infusion Pump for the Management of Pain: Clinical Evidence, Safety, and Guidelines

Intrathecal Bupivacaine via Infusion Pump for the Management of Pain: Clinical Evidence, Safety, and Guidelines Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time (...) Bupivacaine via Infusion Pump for the Management of Pain: Clinical Evidence, Safety, and Guidelines DATE: 21 November 2012 RESEARCH QUESTIONS 1. What is the clinical-effectiveness of bupivacaine when administered as an intrathecal infusion via an infusion pump for patients requiring enhanced pain control? 2. What is the clinical evidence regarding the safety of bupivacaine when administered as an intrathecal infusion via an infusion pump for patients requiring enhanced pain control? 3. What

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

6. Refill Procedures of Intrathecal Drug Delivery Systems With a Recessed Fill Port on the Pump Surface: A Prospective Comparison Study of Ultrasound-Guided vs. Blind Refill Technique. (Abstract)

Refill Procedures of Intrathecal Drug Delivery Systems With a Recessed Fill Port on the Pump Surface: A Prospective Comparison Study of Ultrasound-Guided vs. Blind Refill Technique. Structural differences of implantable drug delivery systems (IDDSs) might have an impact on the efficiency of needle access to the reservoir fill port (RFP). The aim of this study was to assess the efficiency of RFP needle access with an ultrasound (US)-guided vs. a blind refill technique in IDDSs with a Recessed (...) -RFP-IDDSs, if performed by experienced practitioners. However, the study did not address efficiency of the RFP needle access in IDDSs with aberrancy in pump location or refills performed by inexperienced staff.© 2018 International Neuromodulation Society.

2018 Neuromodulation : journal of the International Neuromodulation Society Controlled trial quality: uncertain

7. Blessing or burden? Long‐term maintenance, complications and clinical outcome of intrathecal baclofen pumps Full Text available with Trip Pro

Blessing or burden? Long‐term maintenance, complications and clinical outcome of intrathecal baclofen pumps The intrathecal baclofen pump is an effective treatment for spasticity. However, long-term results have reported patients' dissatisfaction and perception of disability. Potential causes include a frequent need for baclofen pump refill and risks of complications. The aim of the present study was to evaluate the long-term maintenance, complications and clinical outcome of intrathecal (...) baclofen pumps.We conducted a 16-year retrospective cohort study of patients with spasticity treated with an intrathecal baclofen pump at a university hospital from 2000 to 2016. The primary outcome was the rate of infection per puncture for baclofen pump refill. Secondary outcomes included the incidence of other complications, such as running out of baclofen causing symptomatic withdrawal symptoms, pump mechanical failure, pump battery end of life and the need for pump replacement. The clinical

2018 Surgical Practice

8. Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain Full Text available with Trip Pro

Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain A 54-year-old male patient with postoperative axillary lymph node, intrapulmonary, intracranial, and cervical spine metastases of left liver cancer was suffering from severe, persistent, and pricking pain in the right dorsal shoulder and right arm since 3 months. The drug dose of the fentanyl transdermal patch was gradually increased after admission and an adjuvant analgesic was also included, but neither (...) treatment alleviated the pain. It was gradually alleviated after intramedullary analgesic infusion through intrathecal pump implantation in cistern magna. Terminally ill patients often have the desire to spend their remaining time at home, which however becomes a challenge in the face of refractory pain. At present, no palliative chemoradiation or ablative or stimulant neurosurgical options are available to manage pain in cancer patients. Based on the findings of this report, we concluded

2018 Case reports in anesthesiology

9. Readmission and complications within 30 days after intrathecal baclofen pump placement. Full Text available with Trip Pro

Readmission and complications within 30 days after intrathecal baclofen pump placement. To describe 30-day outcomes after intrathecal baclofen (ITB) pump placement in children and identify risk factors for readmission, reoperation, and perioperative complication using the National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database.Patients aged 0 to 18 years who underwent ITB pump placement (2012-2014) comprised the study cohort defined in the database. Multivariate regression (...) and highlight opportunities for quality improvement in clinical practice.Seven percent of patients who underwent intrathecal baclofen pump placement required readmission within 30 days. The most common indication for reoperation was surgical site infection.© 2018 Mac Keith Press.

2018 Developmental Medicine and Child Neurology

10. Palliative care with cervical intrathecal infusion and external pump for a late-stage cancer patient with refractory pain: A case report. Full Text available with Trip Pro

Palliative care with cervical intrathecal infusion and external pump for a late-stage cancer patient with refractory pain: A case report. Intrathecal therapy, with a low complication rate, has become an alternative to standard pain management for treatment of neuropathic cancer pain.Here, we reported a late-stage cancer patient with intractable neuropathic pain in his right neck, shoulder, and upper limb.The pain started 2 years ago when the patient was diagnosed as squamous cell carcinoma (...) with metastasis to right supraclavicular lymph nodes.Cervical intrathecal infusion of morphine and bupivacaine with patient control analgesia by external pump was performed. The intrathecal catheter was located at the level of C6 vertebra. The initial concentration of bupivacaine and morphine were both 1 mg/mL with infusion rate of 0.3 mL/h and bolus of 0.3 mL. Subsequently, the concentrations increased to 2 mg/mL (bupivacaine) and 1.33 mg/mL (morphine), with infusion rate to 0.6 mL/h and bolus to 0.5 ml.The

2018 Medicine

11. Neuromodulation for the management of chronic pain: implanted spinal cord stimulators and intrathecal analgesic delivery pumps

Neuromodulation for the management of chronic pain: implanted spinal cord stimulators and intrathecal analgesic delivery pumps Neuromodulation for the management of chronic pain: implanted spinal cord stimulators and intrathecal analgesic delivery pumps Neuromodulation for the management of chronic pain: implanted spinal cord stimulators and intrathecal analgesic delivery pumps Camberlin C, San Miguel L, Smit Y, Post P, Gerkens S, De Laet C Record Status This is a bibliographic record (...) of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Camberlin C, San Miguel L, Smit Y, Post P, Gerkens S, De Laet C. Neuromodulation for the management of chronic pain: implanted spinal cord stimulators and intrathecal analgesic delivery pumps. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Report 189C. 2012 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH

2012 Health Technology Assessment (HTA) Database.

12. Long-Term Intrathecal Analgesia With a Wireless Analgesia Pump System in the Home Care of Patients With Advanced Cancer. (Abstract)

Long-Term Intrathecal Analgesia With a Wireless Analgesia Pump System in the Home Care of Patients With Advanced Cancer. Intrathecal analgesia is more effective than conservative delivery methods such as drugs administered orally or intravenously. Programmable devices such as Medtronic's SynchroMed systems have often been applied for long-term intrathecal analgesia. However, the totally implanted systems are very expensive in China. Considering cost-effectiveness, a reliable transmission (...) protocol for a ZigBee-Based wireless analgesia pump system was used for long-term intrathecal analgesia in the home care of patients.We retrospectively investigated the efficacy, side effects, and complications of long-term intrathecal analgesia in the home care of patients via the wireless analgesia pump system. Follow-up visits occurred monthly for the initial 3 months after implantation and then every 3 months until patient death, withdrawal from the study, or removal of the device by a designated

2017 American Journal of Hospice and Palliative Medicine

13. Intrathecal baclofen pump infection treated by adjunct intrareservoir teicoplanin instillation Full Text available with Trip Pro

Intrathecal baclofen pump infection treated by adjunct intrareservoir teicoplanin instillation The delivery of intrathecal baclofen via pumps is gaining increasing use in the management of intractable spasticity. One of the rare but devastating complications of this method is infection. In the majority of cases, removal of the device is required, despite appropriate intravenous antibiotic therapy. We report a case that highlights the use of intrareservoir teicoplanin to achieve sterilization (...) uninterrupted.Removal of intrathecal baclofen pump is not necessary as the first measure in cases with mild clinical symptomatology. In view of the fact that pumps for intrathecal drug delivery are very costly, salvage of the device may be attempted in selected cases, although it is not generally recommended. Combined infusion of baclofen and an antibiotic through the pump makes it possible to maintain treatment for spasticity, sterilize the pump reservoir and flow tubes, and effectively treat infections

2017 Surgical neurology international

14. Plain radiography in patients treated with intrathecal drug delivery using an implantable pump device Full Text available with Trip Pro

Plain radiography in patients treated with intrathecal drug delivery using an implantable pump device Intrathecal drug administration using an implanted pump system is well established in intractable spasticity and pain. However, despite continuous advancements in manufacturing technology, adverse events related to the pump and catheter still occur. Most of them, such as migration, damage, disconnection and occlusion, are related to the spinal catheter. The aim of this overview is to update (...) radiologists on how plain radiography of the implanted delivery system for intrathecal drug administration should be interpreted and to increase awareness for the need of urgent and timely multidisciplinary troubleshooting.Plain radiographic images of patients treated with intrathecal drug administration using an implantable drug delivery system were analysed in a multidisciplinary setting at our (university) referral centre for complications in intrathecal drug administration.Examples of catheter-related

2017 Insights into imaging

15. Spinal Myoclonus Responding to Continuous Intrathecal Morphine Pump Full Text available with Trip Pro

Spinal Myoclonus Responding to Continuous Intrathecal Morphine Pump Spinal myoclonus is a sudden, brief, and involuntary movement of segmental or propriospinal muscle groups. Spinal myoclonus has occasionally been reported in patients undergoing opioid therapy, but the pathophysiology of opioid-induced myoclonus has not been elucidated yet. Here, we present two patients with spinal segmental myoclonus secondary to ischemic and radiation myelopathy. Conventional medications did not help treat (...) persistent myoclonus in both legs. Continuous intrathecal morphine infusion was implanted for pain control in one patient, which relieved spinal myoclonus entirely. This experience led to the application of this method with a second patient, leading to the same gratifying result. Spinal myoclonus reemerged as soon as the morphine pumps were off, which confirmed the therapeutic role of opioids. In contrast to the opioid-induced myoclonus, these cases show a benefit of opioids on spinal myoclonus, which

2017 Journal of movement disorders

16. Retrospective analysis of the financial break-even point for intrathecal morphine pump use in Korea Full Text available with Trip Pro

Retrospective analysis of the financial break-even point for intrathecal morphine pump use in Korea The high cost of intrathecal morphine pump (ITMP) implantation may be the main obstacle to its use. Since July 2014, the Korean national health insurance (NHI) program began paying 50% of the ITMP implantation cost in select refractory chronic pain patients. The aims of this study were to investigate the financial break-even point and patients' satisfaction in patients with ITMP treatment after

2017 The Korean journal of pain

17. Regional anesthesia for a total knee arthroplasty on an adult patient with spastic diplegia and an intrathecal baclofen pump Full Text available with Trip Pro

Regional anesthesia for a total knee arthroplasty on an adult patient with spastic diplegia and an intrathecal baclofen pump We describe the clinical presentation of a patient with spastic diplegia, and its unique perioperative challenges. Opioids and antispasmodic medications are the primary therapy for managing pain and spasticity in the perioperative setting. However, such combination results in several side-effects and their sedative properties are synergistic. A 64-year-old woman (...) with a history of spastic diplegia and an intrathecal baclofen pump for the treatment of her lower extremity spasticity was scheduled for a third elective left knee arthroplasty. She requested a regional anesthetic for the anticipated surgery and an opioid sparing postoperative analgesic regiment. We describe the successful use of a lumbar plexus and a sciatic nerve block as the primary anesthetic for the surgery and the use of a continuous lumbar plexus catheter for the postoperative course. Based on our

2017 Romanian Journal of Anaesthesia and Intensive Care

18. Dexmedetomidine for acute clonidine withdrawal following intrathecal pump removal: A drug beginning to find its expanding niche Full Text available with Trip Pro

Dexmedetomidine for acute clonidine withdrawal following intrathecal pump removal: A drug beginning to find its expanding niche 28979507 2018 11 13 1751-1437 17 3 2016 Aug Journal of the Intensive Care Society J Intensive Care Soc Dexmedetomidine for acute clonidine withdrawal following intrathecal pump removal: A drug beginning to find its expanding niche. 271-272 10.1177/1751143716638374 Bowcock Emma E Nepean Hospital, Kingswood, NSW, Australia. Morris Idunn I Nepean Hospital, Kingswood, NSW

2016 Journal of the Intensive Care Society

19. X-ray Imaging Analysis of Intrathecal Baclofen Pumps for Pediatric Emergency Medicine. (Abstract)

X-ray Imaging Analysis of Intrathecal Baclofen Pumps for Pediatric Emergency Medicine. Intrathecal baclofen therapy has become increasingly popular because of its effectiveness in treating spasticity in pediatric patients. The device implanted into each patient is structurally similar. However, x-ray imaging can give the appearance of missing or extraneous objects on or near the intrathecal baclofen device. The composition of the material used in making the catheters is transparent on x-ray (...) images. In addition, the connection port between the pump and catheter may resemble the shape of a needle. This has led to confusion among emergency room personnel, and unnecessary panic for other people involved. It is important that medical professionals understand many of the new designs of the pump-connector system to avoid further complications.

2017 Pediatric Emergency Care

20. Intrathecal Pump

Intrathecal Pump Intrathecal Pump Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Intrathecal Pump Intrathecal Pump Aka: Intrathecal (...) Pump , Intrathecal Pump Insertion II. Mechanism Intrathecal drug delivery for maximal pain relief with less adverse effects Avoids the sedation of antispasmodics such as Avoids the , and sedation of systemic s Catheter inserted into intrathecal space cerebrospinal fluid Catheter tunneled around and into the lower abdominal wall Insertion by interventional pain management specialists or Neurosurgeons Pump refills Pump is battery operated and is typically implanted into Pump port is accessed via

2018 FP Notebook

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>