• Anesthesia and analgesia · Oct 2002

    Case Reports

    Dissociative mental state in a patient with an intrathecal drug administration system.

    • John P R Loughrey and Srdjan S Nedeljković.
    • Department of Anesthesia, Pain, and Perioperative Medicine, Harvard Medical School, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA. jloughrey@partners.org
    • Anesth. Analg. 2002 Oct 1;95(4):1009-11, table of contents.

    ImplicationsWe describe a patient with acute mental status changes, which resolved on removal of medication from the reservoir of a Synchromed intrathecal pump. This report highlights the potential adverse mental affects of chronic spinal infusions for pain therapy and discusses pitfalls in toxicology analysis using immunoassay.

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