Continuous Intrathecal Meperidine via an Implantable Infusion Pump for Chronic, Nonmalignant Pain
| Autor: | Thomas A Duc, Catherine A Pope, Brian G. Cuddy, Susan C. Harvey, Michael G. O’Neil |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Meperidine medicine.medical_treatment Chronic nonmalignant pain Analgesic 030204 cardiovascular system & hematology Intrathecal 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine medicine Humans Infusion pump Infusions Parenteral Pharmacology (medical) Aged Chemotherapy business.industry Infusion Pumps Implantable Pain Intractable Surgery Analgesics Opioid Pethidine Back Pain Anesthesia Female Implant business Perfusion medicine.drug |
| Zdroj: | Annals of Pharmacotherapy. 31:1306-1308 |
| ISSN: | 1542-6270 1060-0280 |
| DOI: | 10.1177/106002809703101105 |
| Popis: | OBJECTIVE: To report a continuous infusion of intrathecal meperidine via an implanted infusion pump for nonmalignant, chronic pain. CASE SUMMARY: A 69-year-old white woman had chronic, nonmalignant low-back pain and bilateral leg pain. Multiple drug therapies and other interventional techniques had failed. The patient achieved significant pain relief by a continuous infusion of intrathecal meperidine via an implanted infusion pump. DISCUSSION: To our knowledge, this is the first report of meperidine administered intrathecally by continuous infusion. Continuous infusion of intrathecal and epidural opiates by implanted infusion pumps is becoming more widely recognized as an alternative treatment for patients with chronic, benign pain. Epidural and intrathecal meperidine is an effective analgesic for short-term surgical procedures. Data reporting effective relief and safety with continuous intrathecal meperidine remain limited. CONCLUSIONS: Continuous intrathecal meperidine via an implantable infusion pump may be an effective alternative in the treatment of chronic pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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