What is the size of a baclofen pump?

The baclofen pump system consists of a pump and a catheter that brings the medication from the pump into the spinal fluid. The pump is a round metallic disc (about 1 inch thick and 3 inches in diameter), which is surgically implanted under the skin of the abdomen.

How often is baclofen pump refilled?

The pump will need to be refilled every one to six months, depending on baclofen dosage.

How long does a baclofen pump refill take?

However, the refill process itself usually takes approximately 15–20 min, in which 2 h and 23 min to 10 h of ‘admission time’ is largely due to waiting. The logistics of baclofen pump refill varies globally. At some centres, baclofen pump refill is performed in the operating theatre as an elective surgery.

How baclofen pump works?

A baclofen pump delivers a precise amount of Lioresal® Intrathecal (a liquid form of baclofen) directly into the fluid that surrounds the spinal cord. This area is called the intrathecal space. A surgeon places the pump just under the skin of the abdomen. The pump is programmed wirelessly to release medication.

Who inserts baclofen pump?

The surgeon will place the pump under the skin of your abdomen. One end of the catheter is then inserted into the fluid around the spinal cord, tunneled under the skin, and connected to the pump.

What happens when baclofen pump runs?

If the pump runs out of medicine, you might go into baclofen withdrawal, which is painful and might be life threatening. You’ll need to tell the scheduler your pump’s alarm date when you make a refill appointment.

Who puts in a baclofen pump?

A surgeon puts the device — a round metal disc, about 1 inch thick and 3 inches around — under the skin of your belly near your waistline. The pump stores and releases the right amount of medicine through the catheter. A tiny motor moves the medication from the pump through the catheter.

What happens if a baclofen pump runs out?

What happens if you take too many baclofen?

Common manifestations of a baclofen overdose include: respiratory depression, lack of tendon reflexes, hypotonia, coma, hypothermia, bradycardia and possible seizures and cardiac conduction abnormalities. In most cases, with assisted ventilation and supportive treatment, patients fully recover within 48–72 h.

What is a baclofen pump?

A baclofen pump is a device that delivers a medication called baclofen to the spinal canal. The baclofen pump is surgically implanted near the abdomen, with a catheter (a thin flexible tube) running to the spinal canal to deliver the medication. Treatment with a baclofen pump is also called intrathecal baclofen therapy (ITB).

How do you reduce CSF baclofen concentration in intrathecal infusion?

If lumbar puncture is not contraindicated, consideration should be given to withdrawing 30-40 mL of CSF to reduce CSF baclofen concentration. Refer to the manufacturer’s manual for the implantable pump approved for intrathecal infusion for specific instructions and precautions for programming the pump and/or refilling the reservoir.

How many ampules are in a baclofen screening dose?

Screening dose (Model 8563s): five ampules each containing 0.05 mg/1 mL (50 mcg/mL) (NDC 70257-562-55). LIORESAL INTRATHECAL (baclofen injection) Refill Kits.

How do you dilute baclofen 100 mcg?

For the maximum screening dose of 100 mcg, use 2 mL of 50 mcg/mL baclofen injection (2 screening ampules). For patients who require concentrations other than 500 mcg/mL or 2000 mcg/mL, LIORESAL INTRATHECAL must be diluted. LIORESAL INTRATHECAL must be diluted with sterile preservative free Sodium Chloride for Injection, U.S.P.