Generator and/or Lead Extrusion
Fig. 37.1 Initial presentation of the implantable pulse generator (IPG) extrusion. Image from personal library Fig. 37.2 Extrusion of the IPG immediately before explantation. As seen in this image, the…
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Intrathecal Drug Delivery System Infections (Meningitis, Encephalitis, Pump Pocket Contaminants)
Fig. 34.1 Early would infection, localized to the intrathecal pump pocket with small dehiscence and purulent drainage 2 weeks after initial placement. Image from Dr. Malik personal library 34.4 Clinical…
Traumatic Spinal Cord Injury After Cervical Interlaminar Epidural Steroid Injections
Route of needle entry Site of injury Interlaminar approach 1. Injury to the spinal cord 2. Injury of spinal nerve, ventral or dorsal ramus with lateral deviation of the needle Transforaminal approach…
Complications Related to Intrathecal Pump Catheter Infection
Fig. 28.1 Cross section of abdominal wall depicting CDC classification of surgical site infection [3] Diagnosis of surgical site infections can be very challenging but is crucial in dictating the…
Buprenorphine Challenges in the Perioperative Period
Formulation Administration Dose Half-life Indication Buprenex IM, IV 0.3 mg/mL 1.2–7.2 h Moderate to severe pain Butrans Transdermal patch 5, 7.5, 10, 15, 20 μg/h 24–46 h Chronic pain Subutex…
Septic Knee
Volume, mL (knee) Clarity Color Viscosity WBC/mm2 PML (%) Culture Normal <3.5 Transparent Clear High <200 <25 Negative Noninflammatory Often >3.5 Translucent-opaque Yellow High 0–2000 <25 Negative Inflammatory Often…
Pneumothorax After Serratus Anterior Trigger Point Injection
Fig. 44.1 Serratus anterior muscle with common trigger point. Image based on web open-source material: https://www.quora.com/What-causes-side-stitch-while-running-and-what-are-good-ways-to-deal-with-this-pain General and musculoskeletal physical exam findings in a patient with a serratus anterior trigger…
Vascular Uptake of PMMA After Spinal Procedures
© Springer International Publishing AG 2018Magdalena Anitescu, Honorio T. Benzon and Mark S. Wallace (eds.)Challenging Cases and Complication Management in Pain Medicinehttps://doi.org/10.1007/978-3-319-60072-7_42 42. Vascular Uptake of PMMA After Spinal Procedures Khalid Malik1 (1) Department of Anesthesiology,…
Wound Dehiscence After Intrathecal Pump Implantation for Cancer Pain
Fig. 36.1 Picture of a small area of opening 2 weeks after placement of the intrathecal drug delivery system in a patient with chronic nonmalignant pain. System was explanted as…
Complications Related to Catheter Migration
Central nervous system toxicity Cardiovascular toxicity Subjective symptoms • Agitation/difficulty focusing • Auditory changes/tinnitus • Dizziness/light-headedness • Metallic taste/tinnitus • Abrupt onset of psychiatric symptoms Direct cardiac effects • Depression of sinus node pacemaker activity • Depression…
