使用IRRA流导管连续输入鼻腔药物:珍珠和早期经验
Jeffrey Garavaglia1, Trevor Hardigan2, Ryan Turner3
1Department of Pharmacy, Ruby Memorial Hospital, West Virginia University, Morgantown , West Virginia, USA.
Operative neurosurgery (Hagerstown, Md.)
|October 11, 2023
概括
一种新的活性液体交换装置提供了一种安全的方法,可以直接向大脑心室输送脑内药物. 这种系统在治疗各种神经疾病时显示出较低的并发症率.
科学领域:
- 神经外科 神经外科
- 药理学 药理学是指药理学的学科.
- 医疗器械 医疗器械
背景情况:
- 静脉内 (IT) 药物通常通过静脉内或脑下导管注射.
- 偶尔通过外部心室排水管 (EVD) 或Ommaya水库实现直接心室输送.
- 埃博拉病毒传播带来了诸如破坏无菌性,玻尿酸注射和系统紧等挑战.
研究的目的:
- 介绍一种新型活性液体交换装置的治疗方案和技术,用于直接输入心室内药物.
- 评估这种新系统在治疗严重脑室内疾病中的安全性和有效性.
主要方法:
- 利用一种新开发的活性液体交换装置进行直接的心室内治疗.
- 开发和应用特定的治疗方案和设备的技术指南.
主要成果:
- 治疗了70名患者,这些患者患有诸如下下垂体出血,心室内出血,心室炎和脑等疾病.
- 整体并发症率为14%,只有一个导管封闭.
- 观察到的出血,感染和脑脊髓液泄漏率较低.
结论:
- 目前的连续IT药物治疗方案基于间歇性玻尿酸试验,需要进一步研究连续剂量的药理动力学和安全性.
- 这种新设备可实现连续,无菌的IT药物输送,可能扩大药物治疗选择.
- 本报告为安全有效使用IRRA流动活性流体交换导管用于IT药物输送提供了指南.
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