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Placement of Intrathecal Needle and Catheter for Chronic Infusion

  • Timothy R. Deer
  • Michael H. Verdolin
  • Jason E. Pope

Abstract

The procedure discussed in this chapter is an end point of a long process. The process includes initial patient evaluation, decision to treat an identified pain problem, creation of a pain algorithm, and eventually the decision to place an intrathecal pump. Once that decision is made, the patient is evaluated for psychological appropriateness and absence of absolute contraindications. Once these hurdles have been passed, the patient is scheduled for a trial injection or infusion. The success of the trial leads to a permanent implant.

Keywords

Chronic pain Intrathecal drug delivery Targeted drug delivery Pain pump Procedure Catheter placement Needle placement 

Suggested Reading

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  6. Smith T, Staats P, Deer T, et al. Implantable Drug Delivery Systems Study Group. Randomized clinical trial of an implantable drug delivery system compared with comprehensive medical management for refractory cancer pain: impact on pain, drug-related toxicity, and survival. J Clin Oncol. 2002;20:4040–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Timothy R. Deer
    • 1
  • Michael H. Verdolin
    • 2
  • Jason E. Pope
    • 3
  1. 1.The Center for Pain ReliefCharlestonUSA
  2. 2.Verdolin Pain SpecialistsChula VistaUSA
  3. 3.Summit Pain AllianceSanta RosaUSA

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