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What
is Intrathecal Pump Implantation?
An Intrathecal
Pump is small, about the size of a tuna can and it is implanted
under the skin near the abdomen. The pump delivers concentrated
amounts of morphine through a catheter directly into the spinal
cord. The advantage to the pump is that a much smaller dose of medication
is needed and because of the small amount of medication there are
less chances of medication side effects. The pump is not for the
average patient, you must go through a screening process before
you would be considered a candidate for the pump.
The patient
receives intravenous sedation and analgesia to make the procedure
easy to tolerate. The procedure is an all day procedure and the
patient may be kept over night for monitoring and for pump adjustments.
The medication in the pump last one to three month’s depending
on the pump setting. When the pump starts to run low the patient
will come into the office where the pump is refilled by a tiny needle
that is placed through the skin and into the pump. The settings
on the pump then can be changed electronically.
This procedure
is safe. However, with any procedure there are risks, and or side
effects. The most common side effect of this procedure is a temporary
increase in pain. Fortunately the serious side effects are uncommon.
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