• Phys Med Rehabil Clin N Am · Feb 2015

    Review Case Reports

    Intrathecal baclofen bolus dosing and catheter tip placement in pediatric tone management.

    • Andrew J Skalsky and Chrystal M Fournier.
    • Division of Pediatric Rehabilitation Medicine, Department of Pediatrics, Rady Children's Hospital San Diego, University of California San Diego, 3020 Children's Way MC 5096, San Diego, CA 92123, USA. Electronic address: askalsky@rchsd.org.
    • Phys Med Rehabil Clin N Am. 2015 Feb 1;26(1):89-93.

    AbstractIntrathecal 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.Copyright © 2015 Elsevier Inc. All rights reserved.

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