Felleiter P, Lierz P
Abt. für Intensivmedizin, Schweizer Paraplegiker-Zentrum Nottwil, 6207 Nottwil, Schweiz.
Anaesthesist. 2007 Aug;56(8):822-7. doi: 10.1007/s00101-007-1204-y.
In anaesthesiological and intensive care practice patients are increasingly being treated with implanted medication pumps. Basic knowledge on the special aspects of this form of therapy is therefore important. During the preanasthesiology visit, information on the pump, the intrathecal catheter, type and dosage of the medication as well as the next scheduled refilling must be collected and documented. Needle punctures near the pump and the catheter must be avoided. During intensive care treatment any possible interaction and overdosing or underdosing of the intrathecally administered medication must be considered. Information on the schedule and punctual organisation of refilling are important to avoid complications.
在麻醉学和重症监护实践中，越来越多的患者接受植入式药物泵治疗。因此，了解这种治疗形式的特殊方面的基本知识很重要。在麻醉前访视期间，必须收集并记录有关泵、鞘内导管、药物类型和剂量以及下次预定补充药物的信息。必须避免在泵和导管附近进行针刺。在重症监护治疗期间，必须考虑鞘内给药的任何可能的相互作用以及用药过量或不足。关于补充药物的时间表和准时安排的信息对于避免并发症很重要。
