Training for the Intraspinal Drug Delivery System Reservoir Refill Procedure Highly Variable: A Nationwide Survey of Health Care Professionals

McGlothlen, Gail L.; Rodriguez, Lori

doi:10.1111/ner.12580

Cited by 3 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of US on a routine basis has the drawback of additional costs and requires training . The current study suggests that for the routine refill of Recessed‐RFP‐IDDSs the blind conventional technique is as efficient as the US‐guided technique.…”

Section: Resultsmentioning

confidence: 76%

See 1 more Smart Citation

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

Maino

Kuijk

Pérez

et al. 2019

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 76%

“…Pocket fills may be the result of improper needle placement during the refill procedure, inadequate clinician training, or pump manufacturing design changes . Our study suggests the probability that even US guidance cannot prevent a pocket fill, as in one patient a pocket fill was suspected after the US‐guided refill procedure.…”

Section: Resultsmentioning

confidence: 81%

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

Maino

Kuijk

Pérez

et al. 2019

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

“…The potential adverse event of an underdose is of particular concern for patients treated with baclofen, as its withdrawal is a potentially life‐threatening event characterized by rebound spasticity and symptoms such as tachycardia, hyperthermia, and seizures . The etiology of a pocket fill has not been well studied, but may be the result of improper needle placement during the refill procedure or inadequate clinician training, and may also be related to pump design differences …”

Section: Discussionmentioning

confidence: 99%

“…The risk for a pocket fill is present with each subsequent refill procedure for the duration of therapy. The true incidence of this complication is unknown, as it is under‐recognized and under‐reported in the scientific literature . From May 1996 through September 2010, 8 deaths and 270 life‐threatening adverse events related to the occurrence of pocket fills requiring medical intervention were reported .…”

Section: Introductionmentioning

confidence: 99%

Refill Port Identification of Intrathecal Drug Delivery System Devices With a Raised Fill Port

2019

View full text Add to dashboard Cite

Objectives The aim of this study was to assess the accuracy of the manual identification of the reservoir fill port (RFP) for refill of intrathecal drug delivery systems (IDDSs) with a raised RFP on the pump surface (raised‐RFP‐IDDSs), and compare this to previously reported data of patients with IDDSs with a recessed RFP (recessed‐RFP‐IDDSs). Methods Nineteen patients underwent 2 IDDS refills for the treatment of noncancer pain or spasticity. The primary endpoint of this prospective observational study was the deviation between the needle insertion point and the RFP center, quantified by fluoroscopic visualization. A distance surpassing that between the center and the margin of the RFP of 4 mm was considered a clinically relevant deviation. The results were compared with previously reported data of a patient cohort with recessed‐RFP‐IDDSs, and the differences were tested using Student's t‐test. Results The mean deviation from the RFP center was 4.9 mm (standard deviation = 3.7). The RFP identification accuracy deviated more than the clinically relevant difference in 17 out of 35 instances (48.6%). The number of attempts and median procedural time was significantly correlated to the needle deviation. The mean deviations in the raised‐RFP‐IDDS cohort were consistently lower compared to the recessed‐RFP‐IDDS cohort (first refill procedure 4.0 vs. 8.5, P < 0.001; second procedure 5.9 vs. 8.1, P = 0.074). Conclusion The results of this study suggest that the manual localization of the RFP for raised‐RFP‐IDDSs is moderately accurate, and more accurate if compared to previously published accuracy of the template‐guided technique for recessed‐RFP‐IDDSs.

show abstract

Maintenance and Troubleshooting of Intrathecal Therapy for Pain

Shah,

McGlothlen,

Poree

2023

Neuraxial Therapeutics

View full text Add to dashboard Cite

Training for the Intraspinal Drug Delivery System Reservoir Refill Procedure Highly Variable: A Nationwide Survey of Health Care Professionals

Cited by 3 publications

References 23 publications

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

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

Refill Port Identification of Intrathecal Drug Delivery System Devices With a Raised Fill Port

Maintenance and Troubleshooting of Intrathecal Therapy for Pain

Contact Info

Product

Resources

About