Temporarily externalization of intra-thecal morphine pump to prevent opioid withdrawal

<p dir="ltr"><b>Presentation: </b>A 29-year-old cancer patient presented two months post-insertion of an Intrathecal Morphine pump secondary to pump protrusion due to wound dehiscence around the pump insertion site. <p dir="ltr"><b>Diagnosis: </b>The patient was diagnosed with an infection in the pocket site of pump insertion. <p dir="ltr"><b>Treatment: </b>The Intrathecal morphine pump was temporarily externalized within 24 hours of hospital admission. <p dir="ltr"><b>Discussion: </b>Various techniques have been described to prevent drug withdrawal after explantation of Intrathecal pumps. One of these techniques include temporarily externalization of Intrathecal pumps and this has been described previously for Baclofen pumps. We describe successful temporarily externalization of Intrathecal morphine pump in a cancer patient for source control of infection and to prevent opioid withdrawal.

Publication Details

Journal
Figshare
Published
2025-03-25
Primary Topic
Pain Management and Opioid Use
Type
article
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article

Temporarily externalization of intra-thecal morphine pump to prevent opioid withdrawal

Figshare
Pain Management and Opioid Use
article

Temporarily externalization of intra-thecal morphine pump to prevent opioid withdrawal

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Abstract

<p dir="ltr"><b>Presentation: </b>A 29-year-old cancer patient presented two months post-insertion of an Intrathecal Morphine pump secondary to pump protrusion due to wound dehiscence around the pump insertion site. <p dir="ltr"><b>Diagnosis: </b>The patient was diagnosed with an infection in the pocket site of pump insertion. <p dir="ltr"><b>Treatment: </b>The Intrathecal morphine pump was temporarily externalized within 24 hours of hospital admission. <p dir="ltr"><b>Discussion: </b>Various techniques have been described to prevent drug withdrawal after explantation of Intrathecal pumps. One of these techniques include temporarily externalization of Intrathecal pumps and this has been described previously for Baclofen pumps. We describe successful temporarily externalization of Intrathecal morphine pump in a cancer patient for source control of infection and to prevent opioid withdrawal.

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Openalex Percentile: Top 34%
Pain Management and Opioid Use
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Temporarily externalization of intra-thecal morphine pump to prevent opioid withdrawal · Figshare (2025) | TGRS Research Map | TGRS