内输送系统的口袋填充器:叙述性审查
Dylan W Banks1, David S Jevotovsky1, Whitman Oehlermarx1
1Department of Physical Medicine and Rehabilitation, New York University, New York, NY, USA.
Journal of pain research
|July 15, 2025
概括
口袋填充,内药物输送系统 (IDDS) 的并发症,发生在药物注射到组织而不是储时. 本综述强调了风险,像成像指导这样的预防策略,以及对患者安全的未来研究需求.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 医疗器械 医疗器械
背景情况:
- 导管内药物输送系统 (IDDS) 越来越多地用于耐火性慢性疼痛.
- IDDS提供有针对性的药物输送,最大限度地提高效益,最大限度地减少全身副作用.
- 患者安全需要了解潜在的IDDS并发症.
研究的目的:
- 为了审查口袋填充,IDDS补充的并发症.
- 讨论内安置的解剖学,风险因素和预防.
- 为管理充钱事件提供建议.
主要方法:
- 这篇叙述性综述审查了关于IDDS和口袋填充的现有文献.
- 突出了关键的预防技术,如坚定的压力和成像指导.
- 讨论了手术后的监测和设备审讯.
主要成果:
- 怀疑口袋填充,即将药物注入皮下组织而不是储,被低估.
- 尽管存在重大患者安全风险,但对口袋填充的研究有限.
- 预防策略包括施加坚定的压力,使用成像指导和术后监测.
结论:
- 口袋填充在IDDS管理中构成严重风险.
- 建议根据可用的资源和患者需求量身定制预防策略.
- 未来的举措应侧重于标准化协议,培训和研究成像指导和早期检测技术.
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