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[Pumps and ports for analgesic therapy.]
1Klinik für Anästhesiologie, Krankenhaus Kemperhof, Koblenzer Str. 115-155, W-5400, Koblenz.
Schmerz (Berlin, Germany)
|September 1, 1992
Summary
For spinal anesthesia, use tested analgesics like opiates, clonidine, and baclofen to prevent neurological damage. Manufacturers must prioritize safety and compatibility in pain management devices.
Area of Science:
- Neurology
- Pain Management
- Medical Devices
Context:
- Symposium update on pain treatment devices in 1991.
- Focus on conclusions regarding pumps and ports for pain management.
Purpose:
- To summarize key recommendations for safe and effective use of intraspinal drug delivery systems.
- To highlight safety, reliability, and application considerations for pain management technologies.
Summary:
- Recommends using only well-tested analgesics (opiates, clonidine, baclofen) for spinal anesthesia to avoid neurological harm.
- Stresses the need for manufacturers to improve safety and compatibility of pain pumps, ports, and catheters.
- Suggests application method (spinal vs. epidural) and device type (pump vs. port) depend on treatment duration and patient care.
- Notes spinal opiates show promise for benign pain but require longer follow-up; local anesthetics are suitable for short-term use.
- Indicates spinal baclofen is effective for muscle spasm pain but not other pain syndromes.
Impact:
- Informs clinical practice regarding the selection and use of intraspinal analgesics.
- Guides manufacturers in developing safer and more reliable pain management technologies.
- Provides evidence-based considerations for long-term pain management strategies.
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