Spinal Opiate AdministrationA Case of Catheter Misplacement
作者:
Carol Tom,
Lorraine Arias,
Giancarlo Barolat,
期刊:
The Clinical Journal of Pain
(OVID Available online 1990)
卷期:
Volume 6,
issue 1
页码: 60-63
ISSN:0749-8047
年代: 1990
出版商: OVID
关键词: Morphine pump;Catheter misplacement;Extra-arachnoid space
数据来源: OVID
摘要:
Abstract: Continuous spinal opiate administration via permanently implantable drug delivery devices has been proven to provide profound analgesia for chronic pain conditions. We present a case in which the catheter of an implantable subarachnoid device was misplaced into the subdural/extra-arachnoid space despite the free flow of cerebrospinal fluid. This was verified by x-ray dye studies. It is postulated that this misplacement of the catheter likely occurred as a result of recent lumbar punctures the patient had undergone. Extravasation of cerebrospinal fluid created a false space and contributed to the misplacement and ultimate failure of the device to provide analgesia
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