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26th Napa Pain Conference

NPC26-Sa5-C - Hands-on Pump Refill Lab: Programming & Performing Refills With & Without Ultrasound


Aug 17, 2019 2:00pm ‐ Aug 17, 2019 3:45pm


Description


Hands-on Pump Refill Lab

Programming & Performing Refills With & Without Ultrasound


Target Audience: Clinicians supervising or providing direct care for patients with intrathecal drug delivery systems, and providers considering the use of IDDs


Learning Objectives

As a result of participating in this activity, learners will be better able to:

  • Identify & view the landmarks of the pump using ultrasound
  • Identify the landmarks of the pump using tactile technique
  • Utilize sterile technique strategies for reservoir refill procedures
  • Access the reservoir access port with and without template
  • Aspirate the contents of a reservoir
  • Refill a pump reservoir
  • Perform basic pump programming

Hands-on, Proctored Practice:

  • Sterile technique 
  • Identifying pump landmarks using ultrasound and tactile technique 
  • Aspirating the pump reservoir 
  • Filling intrathecal pumps 
  • IDDS programming (pump interrogation, prescription change, bridge bolus)

Description

This session will develop familiarity with ultrasound principles and rationale for use. Participants will practice tactile and ultrasound techniques for reservoir access port localization, sterile technique, pump refills and programming for commonly utilized intrathecal drug delivery systems.



Additional Reading

  • Mcglothlen G & Rodriguez L. Training for the intraspinal drug delivery system reservoir refill procedure highly variable: A nationwide survey of health care professionals. Neuromodulation. 2017; 20(7):727-732.
  • Fitzgibbon, D. R., Stephens, L. S., Posner, K. L., Michna, E., Rathmell, J. P., Pollak, K. A., & Domino, K. B. (2016). Injury and liability associated with implantable devices for chronic pain. The Journal of the American Society of Anesthesiologists, 124(6), 1384-1393.
  • Deer, T. R., Pope, J. E., Hayek, S. M., Lamer, T. J., Veizi, I. E., Erdek, M., ... & Rosen, S. M. (2017). The Polyanalgesic Consensus Conference (PACC): Recommendations for intrathecal drug delivery: guidance for improving safety and mitigating risks. Neuromodulation: Technology at the Neural Interface, 20(2), 155-176.
  • Deer, T. R., Pope, J. E., Hayek, S. M., Bux, A., Buchser, E., Eldabe, S., ... & Doleys, D. M. (2017). The Polyanalgesic Consensus Conference (pacc): recommendations on intrathecal drug infusion systems best practices and guidelines. Neuromodulation: Technology at the Neural Interface, 20(2), 96-132.
  • Deer, T. R., Hayek, S. M., Pope, J. E., Lamer, T. J., Hamza, M., Grider, J. S., ... & Russo, M. (2017). The Polyanalgesic Consensus Conference (PACC): recommendations for trialing of intrathecal drug delivery infusion therapy. Neuromodulation: Technology at the Neural Interface, 20(2), 133-154.
  • McGlothlen, Gail, “Intraspinal Drug Delivery Reservoir Refill Procedure by Non-Physician Clinicians: A Nation-Wide Survey of Training, Pocket Fill Experience, and Life-Long Learning Behaviors” (2016). Doctoral Projects. 39.
  • Pharmaceutical Compounding—Sterile Preparations (general information chapter 797). In: The United States Pharmacopeia, 36th rev., and the National Formulary, 31 ed. Rockville, MD: The United States Pharmacopeial Convention; 2013: 361–98
  • American Society of Health-System Pharmacists Guidelines on Preventing Medication Errors in Hospitals
  • Adler, J. A., & Lotz, N. M. (2017). Intrathecal pain management: a team-based approach. Journal of Pain Research, 10, 2565.

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