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Baclofen toxicity in an 8-year-old with an intrathecal baclofen pump.
J Emerg Med. 2004 Feb; 26(2):163-7.JE

Abstract

Baclofen delivered by intrathecal pumps (ITB) is increasingly being utilized in the pediatric population, however, resources and education to support problems with these devices are limited. Typical management strategies for systemic baclofen overdose include removal of baclofen from the device reservoir or removal of cerebrospinal fluid from the adjacent device catheter. Appropriate care of these patients requires awareness of the clinical patterns of toxicity and mechanics of the ITB pump delivery system. This report describes the clinical presentation, unfamiliar dilemmas, and the management of a pediatric patient with intrathecal baclofen toxicity, noting problems that may arise in the care of these patients.

Authors+Show Affiliations

Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

14980337

Citation

Yeh, Ronald N., et al. "Baclofen Toxicity in an 8-year-old With an Intrathecal Baclofen Pump." The Journal of Emergency Medicine, vol. 26, no. 2, 2004, pp. 163-7.
Yeh RN, Nypaver MM, Deegan TJ, et al. Baclofen toxicity in an 8-year-old with an intrathecal baclofen pump. J Emerg Med. 2004;26(2):163-7.
Yeh, R. N., Nypaver, M. M., Deegan, T. J., & Ayyangar, R. (2004). Baclofen toxicity in an 8-year-old with an intrathecal baclofen pump. The Journal of Emergency Medicine, 26(2), 163-7.
Yeh RN, et al. Baclofen Toxicity in an 8-year-old With an Intrathecal Baclofen Pump. J Emerg Med. 2004;26(2):163-7. PubMed PMID: 14980337.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Baclofen toxicity in an 8-year-old with an intrathecal baclofen pump. AU - Yeh,Ronald N, AU - Nypaver,Michele M, AU - Deegan,Thomas J, AU - Ayyangar,Rita, PY - 2002/11/20/received PY - 2003/06/12/revised PY - 2003/07/08/accepted PY - 2004/2/26/pubmed PY - 2004/6/16/medline PY - 2004/2/26/entrez SP - 163 EP - 7 JF - The Journal of emergency medicine JO - J Emerg Med VL - 26 IS - 2 N2 - Baclofen delivered by intrathecal pumps (ITB) is increasingly being utilized in the pediatric population, however, resources and education to support problems with these devices are limited. Typical management strategies for systemic baclofen overdose include removal of baclofen from the device reservoir or removal of cerebrospinal fluid from the adjacent device catheter. Appropriate care of these patients requires awareness of the clinical patterns of toxicity and mechanics of the ITB pump delivery system. This report describes the clinical presentation, unfamiliar dilemmas, and the management of a pediatric patient with intrathecal baclofen toxicity, noting problems that may arise in the care of these patients. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/14980337/Baclofen_toxicity_in_an_8_year_old_with_an_intrathecal_baclofen_pump_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736467903003573 DB - PRIME DP - Unbound Medicine ER -