Usefulness of ultrasound: intrathecal pump refill in the management of chronic pain. A case report

  • Jairo Santiago García-Eslava School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Julián E. Barahona-Correa School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Diego Alberto Moreno a. Department of Anesthesiology, Pontificia Universidad Javeriana-Hospital Universitario San Ignacio, Bogotá, Colombia. b. Pain Clinic, Hospital Universitario San Ignacio, Bogotá, Colombia
  • Antonio Bonilla a. Department of Anesthesiology, Pontificia Universidad Javeriana-Hospital Universitario San Ignacio, Bogotá, Colombia. b. Pain Clinic, Hospital Universitario San Ignacio, Bogotá, Colombia
Keywords: Pain; Ultrasonography; Chronic Pain; Analgesics; Infusion Pumps

Abstract

Intrathecal administration for the treatment of patients with difficult to manage chronic pain represents a therapeutic breakthrough that reduces adverse effects and improves the patient's quality of life. However, the use and refill of infusion pumps entails certain risks. A difficult access to the refill port and the potential for subcutaneous infiltration are rare but potentially fatal complications. The use of ultrasonography as real-time guidance for the localization of the port has been suggested. The case of a patient with a diagnosis of ankylosing spondylitis and chronic pain, with neuroplasticity phenomena in the management of analgesia with opioid intrathecal infusion pump and the need for frequent refill is discussed. An ultrasound-guided static method using coordinates was used for a successful, free of complications refill. The technique described for the refill of intrathecal infusion pumps is a practical and innovative approach which, through adequate training, may reduce the risks and complications during the procedure in patients requiring frequent refills.

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How to Cite
1.
García-Eslava JS, Barahona-Correa JE, Moreno DA, Bonilla A. Usefulness of ultrasound: intrathecal pump refill in the management of chronic pain. A case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Feb. 28];46(1):68-71. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/329

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Published
2018-01-01
How to Cite
1.
García-Eslava JS, Barahona-Correa JE, Moreno DA, Bonilla A. Usefulness of ultrasound: intrathecal pump refill in the management of chronic pain. A case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Feb. 28];46(1):68-71. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/329
Section
Case Report / Case Series

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