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Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey, M.D. Senior Medical Director, Clinical Development Abbott Laboratories.

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Presentation on theme: "Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey, M.D. Senior Medical Director, Clinical Development Abbott Laboratories."— Presentation transcript:

1 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey, M.D. Senior Medical Director, Clinical Development Abbott Laboratories Infusion Pumps and Related Therapies Sept , 2000

2 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia  Uses in Anesthesiology/OR  Uses in Pain Therapy –Acute In-Hospital Use Patient-Controlled Analgesia (PCA) Epidural Analgesia –Chronic Outpatient Use Patient-Controlled Analgesia (PCA) Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

3 Uses in Anesthesiology/OR  Overall Pump Requirements  Specific Applications Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

4 Uses in Anesthesiology/OR  Overall Pump Requirements –Accurate, Constant Delivery –Rapid, Changeable Delivery –Volume or Timed Delivery –Weight-Based Delivery Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

5 Uses in Anesthesiology/OR  Specific Applications –Hydration Fluid Restriction Pediatric Patients Geriatric Patients Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

6 Uses in Anesthesiology/OR  Specific Applications (cont’d) –Medications Anesthetics/Sedatives –Propofol –Remifentanil Muscle Relaxants Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

7 Uses in Anesthesiology/OR  Specific Applications (cont’d) –Medications Vasopressor Drugs –Dopamine –Dobutamine Vasodilator Drug –Nitroglycerin –Nitroprusside Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

8 Uses in Anesthesiology/OR  Specific Applications (cont’d) –Medications Anticoagulants –Heparin Antithrombolytics Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

9 Pain Management Principles  Pain Assessment –Acute vs. Chronic Indications –Effective Pain Management Outcomes Stable Analgesia Minimal Sedation 5 th Vital Sign - JCAHO Standard Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

10 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

11 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

12 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

13 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

14 Overall Pump Requirements  Dosing limits  Lockouts  Security  Accuracy  Documentation  Clinician Interface Prompting Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

15 Uses in Pain Therapy –Acute In-Hospital Use Patient-Controlled Analgesia (PCA) Epidural Analgesia –Chronic Outpatient Use PCA Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

16 Uses in Pain Therapy  Acute In-Hospital Use –PCA Continuous, PCA, Continuous+PCA –Epidural Analgesia Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

17 Uses in Pain Therapy  Acute In-Hospital Use –PCA Therapeutic Applications –Post Surgical Trauma Orthopedic –Medical Conditions Pancreatitis Sickle Cell Disease Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

18 Uses in Pain Therapy  Acute In-Hospital Use –PCA Medications –Opioids Optimal Pump Characteristics –Pharmacy Preparation/Prefilled –Dedicated Device –Medication Error Control Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

19 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

20 Uses in Pain Therapy  Acute In-Hospital Use –Epidural Analgesia Continuous Epidural Infusion Patient Controlled Epidural Analgesia (PCEA) Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

21 Uses in Pain Therapy  Acute In-Hospital Use –Epidural Analgesia Therapeutic Applications –Post-Surgical Thoracic Abdominal Back Lower Extremity Trauma Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

22 Uses in Pain Therapy  Acute In-Hospital Use –Epidural Analgesia Therapeutic Applications –Post-Cesarean Section Opioids/Local Anesthetics –Labor Local Anesthetics Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

23 Uses in Pain Therapy  Chronic Outpatient Use –PCA Continuous, PCA, Continuous+PCA –Therapeutic Applications Oncology Hospice –Medications: Opioids Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

24 Uses in Pain Therapy  Chronic Outpatient Use –PCA Optimal Pump Characteristics –Battery Life - Extended/ Rechargeable –Pharmacy Preparation –Multi-Therapy Pumps –Portable/Light-Weight/ Durable Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies

25 Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia  Uses in Anesthesiology/OR  Uses in Pain Therapy –Acute In-Hospital Use Patient-Controlled Analgesia (PCA) Epidural Analgesia –Chronic Outpatient Use Patient-Controlled Analgesia (PCA) Infusion Pumps and Indications for Use: Pain Therapy; Anesthesia Charles H. McLeskey M.D. Abbott Laboratoies


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