Fig. 42.1
Computer telemetry to access the status of the pump before pump refill
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Fig. 42.2
After carefully prepping the abdomen on multiple occasions, sterile drapes are placed
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Fig. 42.3
The patient should be assessed to orientation of the pump, and as to evidence of any skin abnormalities
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Fig. 42.4
In some cases, laser-guided fluoroscopy can be used to refill the pump. This may be very helpful in the obese patient or in a patient with an abnormal abdominal wall secondary to scar or poor tissue integrity
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Fig. 42.5
Sterile dressings are placed once the pump is refilled
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Fig. 42.6
A template can be used to help identify the port of the intrathecal pump
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Fig. 42.7
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After securing the needle in the lumen, the pump should be aspirated and compared to the expected volume. One should hold the needle in place
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