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Review Case Reports
Managing spasticity in spinal cord injury: safe administration of bridge boluses during intrathecal baclofen pump refills.
- Elie Elovic and Steven C Kirshblum.
- Kessler Medical Rehabilitation Research and Education Corporation, West Orange, New Jersey, USA. eelovic@kmrrec.org
- J Spinal Cord Med. 2003 Jan 1;26(1):2-4.
AbstractIntrathecal baclofen now plays an important role in the management of spasticity in a number of neurologic conditions including spinal cord disorders. Dosage errors can be a source of significant morbidity and the risk is greatest when the clinician is changing solution concentration. When changing concentrations, it is imperative to program the pump correctly by incorporating a bridge bolus to compensate for the residual baclofen solution in the pump and catheter. This paper reviews the appropriate methods to safely calculate the bridge bolus, with an illustrative example.
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