Volume 12, Issue 5 pp. 454-460

Reversible coma in children after improper baclofen pump insertion

KEITH J. ANDERSON FRCA

KEITH J. ANDERSON FRCA

Department of Pediatric Anaesthesia, Neurosurgery and Oncology Montreal Childrens' Hospital, McGill University Healthcare Center, Montreal, Quebec, Canada,

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JEAN-PIERRE FARMER FRCP (Canada)

JEAN-PIERRE FARMER FRCP (Canada)

Department of Neurology, Neurosurgery and Oncology Montreal Childrens' Hospital, McGill University Healthcare Center, Montreal, Quebec, Canada

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KAREN BROWN FRCP (Canada)

KAREN BROWN FRCP (Canada)

Department of Pediatric Anaesthesia, Neurosurgery and Oncology Montreal Childrens' Hospital, McGill University Healthcare Center, Montreal, Quebec, Canada,

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First published: 06 June 2002
Citations: 21
Keith John Anderson, c/o Dr Karen Brown, Department of Anesthesia, Montreal Children's Hospital, 2300 rue Tupper, C-1119, Montreal, Quebec, Canada (e-mail: [email protected]).

Abstract

We report the occurrence of delayed postoperative coma in five of nine consecutive children following surgery for insertion of baclofen infusion pumps. We suspect that improper technique resulted in an inadvertent administration of an intrathecal baclofen bolus. We suggest ways to minimize this risk.

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