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Doctor insights on: Fentanyl Pain Pump

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When are pain pump used for pain?

When are pain pump used for pain?

Severe pain: Typically for severe intractable cancer pain or pain from other conditions such as low back pain that is not well controlled by other means. ...Read more

Pain Pump (Definition)

Pain pumps are electric, battery powered or newer spring loaded devices used to administer pain medications. These can include intravenous or peri neural locations and can infuse narcotics, anti inflammatory medicines or local anesthetics. They can be set to allow for patient control or be controlled by trained personnel. They can range in size and ...Read more


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What is 0.2 dilaudid in a pain pump?

What is 0.2 dilaudid in a pain pump?

Pain pump: Pain pumps are the intrathecal drug delivery systems that deliver the medicine directly to the spinal fluid. Dilaudid is about 5-7 times as strong as morphine. A drug in the spinal fluid is is about 300 times as strong as oral intake. Also Dilaudid is not one of the drugs approved by fda for intrathecal use, but is widely used for tolerant patients and need to be monitored closely. ...Read more

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What is a zimmer ambultory pain pump?

What is a zimmer ambultory pain pump?

Pump: It is a device that contains local anesthetic and slowly delivers it to the surgical site/incision. It is a good choice because it can help cut down on the amount of pain medication needed after surgery. ...Read more

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How can a pain pump be installed in the abdomen?

How can a pain pump be installed in the abdomen?

Easily: Pain pumps consist of the reservoir in the pump and a catheter which goes into the spine. The pump is placed under the skin and soft tissues and not in the abdomen. It should not be placed too deep as filling then becomes risky and problematic. ...Read more

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What are the risks of having a intrathecal pain pump?

Limited: Implantation of a spinal pump, like other surgical and medical procedures, may present risks. Complications include risk of infection, bleeding, headache, allergic reaction, spinal fluid leakage, paralysis, and device malfunction. ...Read more

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Which is better the pain pump or the spine stimulator?

Depends: Depends on what you are using each of these things for. Pain pumps are specifically for patients on high dose opiates and typically are used for terminal cancer patients. Spinal cord stimulators are for typically failed back syndrome or nerve pain disorders. Again these are just generalizations but you should be evaluated by an interventional pain physician to see if you are candidate. ...Read more

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What medications used for enternal pain pump for back pain?

What medications used for enternal pain pump for back pain?

Depends: Iv meds include, morphine, dilaudid, fentanyl, methadone.

Fda approved intrathecal meds are only morphine. ...Read more

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Is there any reason why someone would not want to use an intrathecal pain pump?

Is there any reason why someone would not want to use an intrathecal pain pump?

Yes: Intrathecal pain pumps are a 'last resort' treatment for chronic intractable low back pain that is unresponsive to the more conventional therapies. The complications include but ate not limited to infection, catheter breakage, spinal headache, respiratory depression, and tolerance to increasing doses of medication. ...Read more

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Broke neck in 5 places stillin a lot of pain think about a pain pump are there flaws with this?

Broke neck in 5 places stillin a lot of pain think about a pain pump are there flaws with this?

Not recommended: The problem with pain pumps is that the patient's satisfaction will decrease dramatically and become very low after few years of use. I commonly put pain pumps in cancer patient because of their limited longevity (they are more likely to die before the satisfaction decreases), however, I don't recommend pain pumps for management of non cancer related pain. This is especially true in young patients. ...Read more

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How could I buy an intrathecal pain pump for a critical patient in Venezuela? I beg for your help.

Insertion: Who is going to insert and manage it? It needs to be filled with sterile meds when implanted and then it needs to be refilled every few months. Also the first few months are when dosing changes the most, who would do the adjustments and do they have the external monitor to do it? Even if you got the pump how will you deal with these hurdles? ...Read more

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What is the definition or description of: pain pump?

What is the definition or description of: pain pump?

Pain pump: Pain pumps are electric, battery powered or newer spring loaded devices used to administer pain medications. These can include intravenous or peri neural locations and can infuse narcotics, anti inflammatory medicines or local anesthetics. They can be set to allow for patient control or be controlled by trained personnel. They can range in size and even be implanted subcutaneously! ...Read more

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What is a pain pump for surgery?

LOCAL ANESTHESIA: Usually, a surgeon will inject local anesthetic to numb the skin before making an incision for surgery so you have less pain. A pain pump contains local anesthetic that is slowly, continuously pumped in by pressure thru a little tube to hopefully decrease the pain in the area of the surgery. It often is helpful to decrease the amount of oral pain medicine you need after surgery. ...Read more

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How does a pain pump work after nephrectomy?

How does a pain pump work after nephrectomy?

Depends upon type: Pain pumps are of varying types. Some use numbing medication and others use narcotics. ...Read more

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For what conditions is an interathecal pain pump used?

Severe pain: Typically for severe intractable cancer pain or pain from other conditions such as low back pain that is not well controlled by other means. ...Read more

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Can you tell me about the risks of having a intrathecal pain pump?

Can you tell me about the risks of having a intrathecal pain pump?

Intrathecal pump: Intrathecal therapy risks may be related to implantation, drug filling, drug side effects and chronic placement within the subarachnoid space. Implant risks may include bleeding, infection, nerve/spinal cord injury, etc. Drug refills may be associated with misplacement & toxicity/overdose. Chronic placement can lead to granuloma formation at the catheter tip resulting neurological deficits. ...Read more

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My husband had his pain pump filled last week. He has been nauseated since then?

My husband had his pain pump filled last week. He has been nauseated since then?

New drug: Were there any changes to the medication filled or was there any change to the programming where the dose given per hour was changed.
Please look at your print out from the most recent refill and compare to the one before. Also you must call your doctor who manages the pump and let him know - having a pump means you cannot wait and see. ...Read more

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Can you tell me how high is too high to increase dosage of morphine in a pain pump?

It varies..: It depends very much on the condition that required this treatment, it's duration and to what degree patient developed tolerance to the drug. Since morphine overdose can be fatal, I doubt you would be able to receive your answer online, I would invite you to discuss it with the physician who prescribed it/ manages it. ...Read more

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Have had 2parialdiscecemonty supposed to ave spinal fusion the frautured a verbre should I have the pain pump been on meds for 16 years in lower back?

Have had 2parialdiscecemonty supposed to ave spinal fusion the frautured a verbre should I have the pain pump been on meds for 16 years in lower back?

Post laminectomy: You have symptoms that need complete evaluation by a spine surgeon. Pain pump is a last resort for problems that cannot otherwise be diagnosed or treated. You are too young to accept that if there are options. Minimally invasive fusion/tlif has good results for single-level problems if a diagnosis is conclusive. Don't ever accept "nothing can be done" unless another independent doc agrees. ...Read more

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Please tell me what does a pain pump look like?

Please tell me what does a pain pump look like?

Hockey Puck: Basically looks like a hockey puck. Inside this hockey puck is a reservoir for the pain medicine and a pump system with a computer on board that releases the pain medication out a small tube system that enters into your spine area. ...Read more

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What to do if I'm having problems with my pain pump, anyone else having any problems?

Pain Doc: If you have done all the checks that your doctor gave you and the pump is still not working, then you need to go back to the doctor who put it in. ...Read more

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Recent pain pump has caused fatigue. When will I ever get my energy back?

Recent pain pump has caused fatigue. When will I ever get my energy back?

Time: It may take some time to recover from the surgery and the new route of medication delivery. If the fatigue persists you may need further evaluation and consideration of a new drug. ...Read more

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When will pain management doc write for a pain pump since I have tried everything else and and nothing has worked?

Maybe never: Pain pumps are for individuals who respond to opioids but are having severe side effects due to escalating doses. Not everyone will benefit from a pump, so a trial will have to be done. Ideally this would require weaning off of all oral pain meds. There are long term complications with pumps so do your homework. I would also inquire about a spinal cord stimulator is not already tried. ...Read more

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Since pain pump implanted pain is still 8/10 every time it's increased I'm having a hard time breathing so can't sleep. Should pump b removed?

Extreme pain: Need good pain management. It is a balance be tween adequate control of pain and adverse effects. Discuss with your doctors and use of non medication pain management ...Read more

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Can you get a Pain Pump For chondromalacia. If nothing else helps. I done therapy, injections, meds, and daily stretches. Nothing helps anymore

Can you get a Pain Pump For chondromalacia. If nothing else helps. I done therapy, injections, meds, and daily stretches. Nothing helps anymore

Stem cells?: Ask your orthopedist about stem cell injections, and if they might be appropriate for you. Hope this helps! ...Read more

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