[Intrathecal baclofen therapy : Overdose during replacement of a medication pump.]
Authors: Kramer K, Weber M, Koulousakis A, Lier H, Krep H
This case report reviews the anesthesiological complications of intrathecal baclofen (ITB) therapy. An 11-year-old boy with spasticity and apallic syndrome needed general anesthesia for exchange of a baclofen pump but 2 h later he became increasingly hypothermic, hypotonic with bradycardy and dyspnea. The cause was an intra-operative bolus of ITB. Reduction of the baclofen administration rate caused disappearance of all symptoms without any residual effects. The ITB is an increasingly used therapeutic option for multiple sclerosis and cerebral palsy. Therefore, emergency personal and anesthesiologists must be aware of the possible side effects of this medication.
PMID: 19730795 [PubMed - as supplied by publisher] (Source: De…
Related posts:
- Continuous intrathecal baclofen therapy in children with cerebral palsy – when does improvement emerge?
- Survival of individuals with cerebral palsy receiving continuous intrathecal baclofen treatment: a matched-cohort study
- Continuous intrathecal baclofen for children with spasticity and/or dystonia: Goal attainment and complications associated with treatment
- Coupled obturator neurotomies and lidocaine intrathecal infusion to treat bilateral adductor spasticity and drug-refractory pain.
- Gait characteristics of children with hemiplegic cerebral palsy before and after modified constraint-induced movement therapy.
Categories: Michigan Birth Injury News | | Permalink | Trackback |
Print This Post
|
Email This Post
