Name of the Procedure:

Common Name: Non-Programmable Infusion Pump Implantation
Technical/Medical Term: Infusion Pump, Non-Programmable, Temporary (Implantable) (C2626)

Summary

An infusion pump implantation is a medical procedure in which a temporary, non-programmable infusion pump is surgically placed inside the body to deliver medication directly to targeted areas. This pump helps manage chronic pain, muscle spasms, or other medical conditions by delivering precise doses of medication over a specified period.

Purpose

Medical Conditions Addressed:

• Chronic pain
• Severe muscle spasms (e.g., spasticity)
• Certain types of cancer pain

Goals/Expected Outcomes:

• Effective pain management
• Reduction of muscle spasms
• Improved quality of life by relieving symptoms

Indications

Symptoms/Conditions:

• Unmanageable chronic pain not relieved by oral medications
• Severe spasticity affecting daily activities
• Cancer patients requiring pain management

Patient Criteria:

• Patients who have not found relief from traditional therapies
• Patients medically evaluated to tolerate surgery

Preparation

Pre-Procedure Instructions:

• Fasting for at least 8 hours before the procedure
• Adjusting current medications as advised by the doctor
• Arranging for someone to drive the patient home post-surgery

Diagnostic Tests:

• MRI or CT scans to evaluate pump placement
• Blood tests to assess overall health and surgery readiness

Procedure Description

1. Preoperative Preparation:
   • An IV line is started for administering anesthesia and fluids.
2. Anesthesia:
   • General or local anesthesia is administered.
3. Incision and Placement:
   • A small incision is made in the abdomen or back where the pump will be positioned.
   • The pump is carefully placed under the skin and connected to a catheter, which delivers the medication to the targeted area.
4. Closing Incision:
   • The incision is sutured closed, and a sterile dressing is applied.

Tools/Equipment:

• Surgical scalpel
• Implantable infusion pump
• Catheter
• Suturing materials

Duration

Typically takes about 1 to 2 hours.

Setting

Performed in a hospital setting, usually in the operating room.

Personnel

• Surgeon
• Anesthesiologist
• Surgical nurses
• Scrub technician

Risks and Complications

Common Risks:

• Infection at the implantation site
• Bleeding or bruising
• Allergic reaction to anesthesia

Rare Complications:

• Pump malfunction or displacement
• Nerve damage
• Overdose or underdose of medication

Management:

• Regular monitoring and adjustments as needed
• Immediate medical attention for any signs of complications

Benefits

Expected Benefits:

• Significant reduction in pain or muscle spasms
• Improved functionality and mobility
• Enhanced quality of life

Realization:

Benefits are often noticed within days to weeks after implantation.

Recovery

Post-Procedure Care:

• Monitoring for signs of infection or complications
• Instructions on how to care for the incision site
• Avoiding strenuous activities for a few weeks

Recovery Time:

• Generally, 2 to 4 weeks for full recovery

Follow-Up:

• Regular follow-up appointments for pump adjustments and medication refills

Alternatives

Other Treatments:

• Oral medications
• Epidural injections
• Physical therapy
• Spinal cord stimulation

Pros and Cons:

• Pros: Non-surgical options involve less risk but may be less effective
• Cons: Alternative treatments may not provide adequate relief

Patient Experience

During Procedure:

• Anesthesia ensures the patient is asleep or comfortable; minimal discomfort

After Procedure:

• Mild to moderate pain at the incision site, managed with medications
• Instructions provided for pain management and activity restrictions