Intrathecal Baclofen Bolus Dosing and Catheter Tip Placement in Pediatric Tone Management

被引：13

作者：

Skalsky, Andrew J. ^{[1
]}

Fournier, Chrystal M. ^{[2
]}

机构：

[1] Univ Calif San Diego, Rady Childrens Hosp San Diego, Dept Pediat, Div Pediat Rehabil Med, San Diego, CA 92123 USA

[2] Rady Childrens Hosp San Diego, Div Pediat Rehabil Med, San Diego, CA 92123 USA

来源：

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA | 2015年 / 26卷 / 01期

关键词：

Pediatric; Cerebral palsy; Intrathecal baclofen; Spasticity; Flex; Bolus; Catheter; CEREBROSPINAL-FLUID; CEREBRAL-PALSY; INFUSION; THERAPY; SPASTICITY; ORIGIN; TOLERANCE; CHILDREN;

D O I：

10.1016/j.pmr.2014.09.011

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Intrathecal baclofen (ITB), administered by an implanted pump, has emerged as an efficacious therapy for the treatment of hypertonicity in pediatrics. Although ITB has been used for more than 20 years clinically, much is still unknown about the most optimal dosing regimens and intrathecal catheter tip placement. Clinician experience, animal research, and advanced imaging is guiding the use of ITB. The rationale for high cervical catheter tip placement and pulsating flex dosing is described.

引用

页码：89 / +

页数：6

共 35 条

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