<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472018000100068</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000012</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Usefulness of ultrasound: intrathecal pump refill in the management of chronic pain. A case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Utilidad del ultrasonido: Relleno de bomba intratecal en el manejo de dolor crónico. Reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Eslava]]></surname>
<given-names><![CDATA[Jairo Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barahona-Correa]]></surname>
<given-names><![CDATA[Julián E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[Diego Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana School of Medicine ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana Department of Anesthesiology Hospital Universitario San Ignacio]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Ignacio Pain Clinic ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>68</fpage>
<lpage>71</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472018000100068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472018000100068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472018000100068&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Intrathecal administration for the treatment of patients with difficult to manage chronic pain represents a therapeutic breakthrough that reduces adverse effects and improves the patient's quality of life. However, the use and refill of infusion pumps entails certain risks. A difficult access to the refill port and the potential for subcutaneous infiltration are rare but potentially fatal complications. The use of ultrasonography as real-time guidance for the localization of the port has been suggested. The case of a patient with a diagnosis of ankylosing spondylitis and chronic pain, with neuroplasticity phenomena in the management of analgesia with opioid intrathecal infusion pump and the need for frequent refill is discussed. An ultrasound-guided static method using coordinates was used for a successful, free of complications refill. The technique described for the refill of intrathecal infusion pumps is a practical and innovative approach which, through adequate training, may reduce the risks and complications during the procedure in patients requiring frequent refills.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La vía de administración intratecal en el tratamiento de pacientes con dolor crónico de difícil manejo representa un avance terapéutico que disminuye efectos adversos y mejora su calidad de vida. Sin embargo, el uso y recarga de bombas de infusión presenta riesgos. Un acceso difícil al puerto de recarga y la posible infiltración subcutánea son complicaciones infrecuentes, pero potencialmente fatales. El uso de ultrasonografía como guía en tiempo real o para localización del puerto ha sido propuesto. Se presenta el caso de un paciente con diagnóstico de espondilitis anquilosante y dolor crónico con fenómenos de neuroplasticidad en manejo analgésico con bomba de infusión intratecal de opioides y necesidad de recarga frecuente, en quien se aplicó un método estático mediante coordenadas utilizando ultrasonido para guiar la recarga de forma exitosa y sin complicaciones. La técnica descrita para la recarga de bombas de infusión intratecal es una manera práctica e innovadora que, con el entrenamiento adecuado, puede disminuir los riesgos y complicaciones durante el procedimiento en pacientes con requerimiento de recarga frecuente.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pain]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[Chronic Pain]]></kwd>
<kwd lng="en"><![CDATA[Analgesics]]></kwd>
<kwd lng="en"><![CDATA[Infusion Pumps]]></kwd>
<kwd lng="es"><![CDATA[Dolor]]></kwd>
<kwd lng="es"><![CDATA[Ultrasonografía]]></kwd>
<kwd lng="es"><![CDATA[Dolor Crónico]]></kwd>
<kwd lng="es"><![CDATA[Analgésicos]]></kwd>
<kwd lng="es"><![CDATA[Bombas de Infusión]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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