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Anesth Analg 2002;95:1009-1011
© 2002 International Anesthesia Research Society

PAIN MEDICINE

Dissociative Mental State in a Patient with an Intrathecal Drug Administration System

John P.R. Loughrey, MB MRCPI, FCARCSI, and Srdjan S. Nedeljkovic, MD

Department of Anesthesia, Pain, and Perioperative Medicine, Harvard Medical School, Brigham & Women’s Hospital, Boston, Massachusetts

Address correspondence and reprint requests to John Loughrey, MB, MRCPI, FCARCSI, Department of Anesthesia, Pain, and Perioperative Medicine, Harvard Medical School, Brigham and Women’s Hospital, 75 Francis St., Boston, MA 02115. Address e-mail to jloughrey{at}partners.org

IMPLICATIONS: We describe a patient with acute mental status changes, which resolved on removal of medication from the reservoir of a Synchromed® intrathecal pump. This report highlights the potential adverse mental affects of chronic spinal infusions for pain therapy and discusses pitfalls in toxicology analysis using immunoassay.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.