Children with a baclofen pump may be diagnosed with cerebral palsy, stroke, brain injury, or spinal cord injury
2 These adverse effects include sedation, nausea, dizziness, hypotension, confu-sion, and weakness
Neurologists may be asked about the management of these devices when patients attend emergency departments for unrelated illnesses
Convulsion Urinary retention OVERDOSE OF INTRATHECAL BACLOFEN Clinicians must always be alert to the symptoms of overdose, especially during the screening test, post-implant dose titration, and whenever ITB Therapy has been interrupted and reintroduced
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What Is the Intrathecal Baclofen Pump System? If this happens, go to the nearest emergency room right away
Intrathecal baclofen (ITB), delivered via an implanted pump, carries primary indications for the reduction of spasticity in children resulting from spinal cord injury, or associated with cerebral Baclofen pump surgery is a procedure to permanently implant a device into your body so it can administer baclofen medicine into the fluid in your spinal column
Complications of ITB pumps are frequent, and significant morbidity can arise from their use, especially in children
The pump and catheter are implanted under the skin
Baclofen Pumps: Uses and Complications Baclofen is FDA-approved and primarily used as an antispasmodic agent and muscle relaxant
Baclofen is injected into the intrathecal Intrathecal baclofen therapy has become increasingly popular because of its effectiveness in treating spasticity in pediatric patients
1097 If you experience one or more of the signs of baclofen withdrawal, call your doctor immediately for emergency care
A recent study found that a preoperative chlorhexidine skin wash and an intraoperative vancomycin wash of the fibrous pocket reduced the infection rate for surgical procedures from 4
Occasionally, the intrathecal baclofen system itself will directly lead to an acute presentation
It could mean that the pump is not working The ITB pump programming and ongoing patient care is managed by the patient's primary ITB team which is either: Neurodevelopment & Disability ; Rehabilitation Aim
The pump system has two parts: the pump A: Intrathecal Baclofen Therapy (ITB) is a treatment using Lioresal ® Intrathecal (baclofen) that is delivered into the fluid around your spinal cord (intrathecal) to help manage severe spasticity
Pump delivers baclofen in small amounts into the CSF causing inhibition at the spinal level; Causes of Baclofen Withdrawal (Stetkarova 2010) Emergency Medical Services was called and found him febrile with a temperature of 41
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Baclofen overdose and withdrawal are potentially life-threatening complications of pump and spinal catheter system malfunction
Baclofen is used for the management of muscle spasticity, dystonia, substance use disorders, and hiccups
Make sure that patient has a supply of oral Baclofen in case of an emergency
For long term treatment, the drug is placed into a pump that is surgically placed under the skin of your abdomen
[2] The dose of baclofen can be decreased by greater than 100-fold by delivering ITB via a pump
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Always carry the emergency card and plastic guide that will be mailed to you after the surgery by Medtronic
The patient will have the pump implanted inside the body
Baclofen (Lioresal™) is a drug of choice to treat spasticity and is increasingly being administered intrathecally via an implantable pump in cases refractory to oral therapy
Alarms
This has led to confusion among emergency room personnel, and unnecessary panic for other people involved
Baclofen overdose and withdrawal are potentially life-threatening The baclofen pump is implanted using a surgical procedure performed while your child is under general anesthesia
Each milliliter of LIORESAL INTRATHECAL contains baclofen U
If a noncritical event occurs, your child is still receiving baclofen
Initial evaluation consisted of radiographs of the pump and catheter, which appeared normal, and a successful aspiration of CSF from the pump's side port
In the United States, emergency technical support is available
Prevention of abrupt discontinuation of intrathecal baclofen requires careful attention to programming and monitoring of the infusion system, refill scheduling and procedures
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MD, FAAP, FACMT †
Sudden interruption of baclofen therapy can result in baclofen withdrawal, which is recognized as a serious medical emergency
EMERGENCY TECHNICAL SUPPORT
EMERGENCY CARE PLAN: Baclofen Pump
Baclofen is one of the most effective drugs for dystonia (involuntary muscle spasms) and spasticity (stiff or rigid muscles) in NBIA
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Emergency Medical Services was called and found him febrile with a temperature of 41
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Baclofen is FDA-approved and primarily used as an antispasmodic agent and muscle relaxant
An intrathecal pump may also be called an implanted intrathecal An emergency supply of oral baclofen must be prescribed to be used when patients or their caregivers recognize early symptoms of withdrawal
For complications involving failure of the pump device itself, clinicians will manage symptoms and refer the patient back to neurosurgery for replacement of the pump
The Medtronic baclofen pump or ITB TherapySM (Intrathecal Baclofen Therapy) is a treatment that may relieve some of the symptoms of your severe spasticity
Phenibut was developed as an anxiolytic and cognition enhancer
Post-procedure If Baclofen dose is changed, inform patient / family about possible side effects related to Baclofen withdrawal or toxicity
We report a case of a 12-year-old boy, on long-term ITB A: Intrathecal Baclofen Therapy (ITB) is a treatment using Lioresal ® Intrathecal (baclofen) that is delivered into the fluid around your spinal cord (intrathecal) to help manage severe spasticity
These side effects are experienced in approximately 25% - 75% of patients treated with oral baclofen
Call your doctor or healthcare provider if you have questions or concerns
3300 and ask to page the Rehabilitation Medicine resident on call
Intrathecal baclofen (ITB), delivered via an implanted pump, carries primary indications for the reduction of spasticity in children resulting from spinal cord injury, or associated with cerebral A baclofen pump is a surgically implanted medical device used to reduce spasticity and muscle spasms
Remove the needle from the reservoir fill port
Call 416-597-3422 extension 5764
Always carry the emergency card and plastic guide that will be mailed to you after the surgery by Medtronic
Often administered intrathecally but does have an oral formulation