1. Intrathecal pain pumps: indications, patient selection, techniques, and outcomes.
- Author
-
Bolash R and Mekhail N
- Subjects
- Analgesics, Non-Narcotic therapeutic use, Analgesics, Opioid therapeutic use, Chronic Pain drug therapy, Humans, Morphine therapeutic use, Neuralgia drug therapy, Nociceptive Pain drug therapy, Treatment Outcome, omega-Conotoxins therapeutic use, Infusion Pumps, Implantable, Infusions, Spinal methods, Pain drug therapy, Pain surgery, Patient Selection, Spinal Cord surgery
- Abstract
Intrathecal drug delivery represents an advanced modality for refractory chronic pain patients as well as intractable spasticity. This article reviews the advantages and indications for intrathecal therapy, as well as recommendations for proper patient selection using a multidisciplinary team to provide a global assessment of the impact of chronic pain on the patient's well-being. The goals and expectations of trialing are discussed alongside advantages and disadvantages of several trialing techniques. A discussion of outcomes is presented for patients with chronic pain due to both malignant and nonmalignant causes., (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Published
- 2014
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