THE INFUSION PUMP: CLINICAL OBSERVATION
H. Hooshmand, M.D. and Eric M. Phillips
Neurological Associates Pain Management Center
Vero Beach, FL
Abstract.
The use of an implantable infusion pump for the
treatment of chronic pain is to provide the patient with approximately
1/10 the dose that the patient is taking at the present time, and this
small dose will be given in a steady fashion in the form of drip
irrigation. The drip irrigation is through a small plastic catheter and a
titanium pump under the skin which drips the pain medication in minute
amounts continuously.
The infusion pump is usually installed in advanced
cancer patients as a palliative treatment. In a small minority of
noncancerous patients the use of the infusion pump is indicated for
treatment.
The use of an infusion pump is the best form of
treatment for advanced, severe cases of complex regional pain syndrome
(CRPS) as long as the patient and the physician understand that the dosage
of Morphine cannot be mixed with other forms of strong pain medications.
Descriptors. complex regional pain syndrome (CRPS), infusion
pump.