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Can I read Best Practices for Intrathecal Baclofen Therapy: Screening Test on EtoBox?
Best Practices for Intrathecal Baclofen Therapy: Screening Test by Aaron L. Boster; Susan E. Bennett; Gerald S. Bilsky; Mark Gudesblatt; Stephen F. Koelbel; Maura McManus; Michael Saulino is a Medicine article available to read on EtoBox.
What is Best Practices for Intrathecal Baclofen Therapy: Screening Test about?
## Introduction: Intrathecal baclofen (itb) screening assesses response to a test dose of itb on spasticity and function and identifies adverse reactions. ## Method: An expert panel consulted on best practices after conducting an extensive literature search and conducting an online survey. ## Results: A successful trial may confirm predetermined goals, which may include improved mobility/positioning, decreased time/improved independence for activities, less home exercise, better wheelchair tolerance, decreased caregiver time, improved sleep, and reduced pain, or may modify goals and expectations. individuals should not be tested in the presence of active medical issues (e.g., ms exacerbations, active urinary tract infection, nonhealing wounds). oral antispasmodics can be weaned before trial if a goal is to eliminate them. the standard baclofen test dose is a 50-mcg bolus, 25 mcg in very small children or patients who rely on spasticity for mobility. patients unresponsive to the standard dose may require 75 mcg or 100 mcg; 24 hours should elapse between bolus doses. cardiopulmonary parameters should be checked frequently during the first two hours postinjection, and spasticity measu
Who reads Best Practices for Intrathecal Baclofen Therapy: Screening Test?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Aaron L. Boster; Susan E. Bennett; Gerald S. Bilsky; Mark Gudesblatt; Stephen F. Koelbel; Maura McManus; Michael Saulino
- Publisher
- Elsevier BV
- Published
- 2016
- Language
- EN
- Field
- Medicine (Health Sciences)