Member May 2024: Baclofen Pump Troubleshooting 101 and Beyond! (1.25 CME) (enduring)-Member May: Baclofen Pump Troubleshooting 101 and Beyond! (1.25 CME)

Video Transcription

Video Summary

In the video, Dr. Zach Bauhart and Dr. Kimberly Heckert, physiatrists, discuss troubleshooting issues with Baclofen pumps for patients experiencing a loss of efficacy. Dr. Bauhart stresses the importance of having a protocol for treating such patients and educating ED staff on Baclofen pump management. A case study is shared, outlining steps taken to investigate and address a loss of Baclofen pump efficacy. Dr. Heckert highlights ruling out other causes of spasticity exacerbation before treating Baclofen withdrawal and discusses the challenges of diagnosing and managing such cases. Both doctors warn about the dangers of Baclofen withdrawal, emphasize prompt and appropriate treatment, and advocate for quick reintroduction of Baclofen into the intrathecal space. Additionally, the video covers troubleshooting and imaging techniques for intrathecal Baclofen delivery systems, addressing common issues like catheter malfunctions, fractures, migration, and occlusions. Strategies for managing older catheters, performing lumbar punctures, and dosing adjustments during pump replacements are provided, along with insights on asymptomatic patients and early signs of efficacy loss. The video offers valuable guidance for clinicians dealing with intrathecal Baclofen therapy, emphasizing thorough investigation and coordination with radiology and nuclear medicine departments.

Keywords

Baclofen pumps

loss of efficacy

troubleshooting issues

physiatrists

protocol for treatment

ED staff education

case study

spasticity exacerbation

Baclofen withdrawal

intrathecal Baclofen delivery systems

catheter malfunctions