Managing a National Intrathecal Pump Service During the COVID-19 Pandemic

Neuromodulation : Journal of the International Neuromodulation Society
Anil K PatelDavid M Moore

Abstract

The healthcare and social disruption caused by the COVID-19 pandemic could pose significant risk to patients with intrathecal pump (ITP) who may miss refill or replacement appointments. In some cases, this could be life-threatening. We designed and piloted a novel refill protocol to assess its efficacy and safety. Screening of our ITP database for patients most at risk of harm was conducted. These patients were risk-assessed for COVID-19 infection and were enrolled in a protocol to optimize the safety and efficiency of their pump replacement or refill. Of note, 31 of 51 database patients were deemed to be high risk of ITP failure during the pandemic. Thirty patients were successfully refilled with only one patient refusing to leave their house for refill. There were no significant adverse outcomes. Our protocol offers a safe and efficient pathway for ITP management during a pandemic.

References

Oct 1, 2001·Neuromodulation : Journal of the International Neuromodulation Society·R J Coffey, P M Ridgely
Jul 20, 2016·Neuromodulation : Journal of the International Neuromodulation Society·Michael SaulinoAaron L Boster
Jan 4, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Timothy R DeerNagy Mekhail
Mar 13, 2020·JAMA : the Journal of the American Medical Association·James G Adams, Ron M Walls
Jun 2, 2020·Annals of Internal Medicine·Seongman BaeSung-Han Kim

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Citations

Nov 5, 2020·Neuromodulation : Journal of the International Neuromodulation Society·Phillip Kim, Timothy Deer
Jun 24, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Andrew Purcell, David M Moore

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