Managing spasticity in spinal cord injury: Safe administration of bridge boluses during intrathecal baclofen pump refills

Short Title:
Managing spasticity in spinal cord injury: Safe administration of bridge boluses during intrathecal baclofen pump refills
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J46226.
Journal:
Journal of Spinal Cord Medicine
Year, Volume, Issue, Page(s):
2003, vol. 26, issue 1, pp 2-4.
Publication Website:
Abstract:
Article describes the appropriate methods for the safe transition from one concentration of intrathecal baclofen (ITB) to another. ITB administered by a programmable, implantable pump infusion system is an effective treatment for spasticity secondary to spinal cord disorders. The dosage of ITB depends on the degree of spasticity, duration of treatment, and individual response to the medication. When changing the concentration of ITB, a residual amount remains stored in the catheter and the pump. To avoid dosage errors, a "bridge bolus" must be administered to compensate for the residual baclofen. Instructions for calculating the dosage of a bridge bolus are presented and a case study illustrates the process.
Author(s):
Elovic, Elie; Kishblum, Steven C.
Author Address(es):

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