What is a baclofen pump placement?

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.

When is a baclofen pump used?

Baclofen is a muscle relaxant medicine commonly used to decrease spasticity related to multiple sclerosis, spinal cord injuries, or other neurological diseases.

What is a baclofen pump interrogation?

Pump interrogation will provide: low reservoir alarm date, volume of expected baclofen left in pump, dose and concentration of ITB and it will also show any alarms or events that have occurred with the pump programming; battery life, low volume warning, malfunctions.

Is a baclofen pump an infusion pump?

Background: Baclofen pumps provide treatment of symptoms of spasticity for disease processes such as cerebral palsy and traumatic brain injury. These devices provide continuous infusion or periodic dosing of intrathecal baclofen (ITB). Traditionally, these pumps have been placed subcutaneously.

What is baclofen mechanism of action?

Mechanism of Action [3] The thinking is that baclofen reduces the release of excitatory neurotransmitters in the pre-synaptic neurons and stimulates inhibitory neuronal signals in the post-synaptic neurons with resultant relief of spasticity.

How long is baclofen pump surgery?

If you and your child’s doctors decide that a baclofen pump is appropriate, the surgery is usually performed the day after the trial. Surgery lasts about 2 to 3 hours.

How do baclofen pumps work?

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 is a candidate for baclofen pump?

A: People who have severe spasticity resulting from conditions of the brain or spinal cord (such as multiple sclerosis, cerebral palsy, stroke, brain injury or spinal cord injury) may be candidates for ITB TherapySM.

What does a baclofen pump alarm sound like?

A single beep, repeating about once every hour, sounds when the amount of medication in the pump is getting low. Call your doctor right away to schedule a refill appointment. The single beep will also sound if your pump needs to be replaced within 90 days.

How is baclofen administered?

Baclofen comes as a tablet and a solution (liquid) to take by mouth. It usually is taken 3 times a day at evenly spaced intervals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take baclofen exactly as directed.

Does baclofen lower blood pressure?

2 Low doses of baclofen (less than 5 X 10(-8) mol), given intravenously, produced a transient fall in blood pressure and heart rate. Higher doses (greater than 5 X 10(-7) mol) produced a marked and prolonged increase in blood pressure accompanied by a rise in heart rate and cutaneous arterial dilatation.

How much does a baclofen pump hold?

All of the baclofen pumps in this study have a reservoir volume of 20 mL. For each refill, 20 mL intrathecal baclofen with a concentration of 2000 μg/mL was instilled into the pump reservoir, giving rise to a total of 40 000 μg (or 40 mg).