Intrathecal Drug Delivery for Pain and Spasticity - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, M.D., M.S offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes.
- Understand the rationale and scientific evidence behind intrathecal drug delivery techniques and master their execution.
- Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines.
- Apply the newest techniques in intrathecal pump placement, cancer pain management, use of baclofen pumps, and compounding drugs.
- Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms.
- Access the fully searchable contents online at expertconsult.com.
Series USP: Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques
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SECTION I: General Considerations
Chapter 1: Basic Science of Spinal Receptors
Chapter 2: Pharmacologic Agents and Compounding of Intrathecal Drugs
Chapter 3: Polyanalgesia for Implantable Drug Delivery Systems
Chapter 4: Principles of Patient Management for Intrathecal Analgesia
Chapter 5: Patient Selection for Intrathecal Infusion to Treat Chronic Pain
Chapter 6: Patient Preparation
Chapter 7: Psychological Considerations in IDD
Chapter 8: Intrathecal Drug Delivery: Medical Necessity, Documentation, Coding and Billing
SECTION II: Implant Devices
Chapter 9: Methods of Trials for Consideration of ITDDS
Chapter 10: Techniques of Implant Placement for Intrathecal Pumps
Chapter 11: Programmable versus Fixed-Rate Pumps for Intrathecal Drug Delivery
Chapter 12: SynchroMed EL vs SynchroMed II
Chapter 13: Minimizing the Risks of Intrathecal Therapy
Chapter 14: Complications Associated with Intrathecal Drug Delivery Systems
SECTION III: Evidence-based practice
Chapter 15: Management of ITDDS in Patients with Co-Morbidities
Chapter 16: Cost-Effectiveness of Implanted Drug Delivery Systems
Chapter 17: Neuroaugmentation by Stimulation vs. Intrathecal Drug Delivery Systems
Chapter 18: Anticoagulation guidelines and Intrathecal Drug Delivery Systems
Chapter 19: Intrathecal Therapy for Malignant Pain
SECTION IV: ITDDs for spasticity
Chapter 20: Intrathecal Baclofen Trialing
Chapter 21: Baclofen Pump Management
SECTION V: Future of ITDDs
Chapter 22: Future of Intrathecal Drug Delivery Systems (including new devices)
Chapter 23: Trialing for Ziconotide Intrathecal Analgesic Therapy
Chapter 24: Perioperative Management of Patients with ITDDS
Department of Anesthesiology
Rush University Medical Center
Chicago, IL. Sudhir Diwan Director of Pain Medicine,
Department of Anesthesiology,
Director of Quad-Institutional Pain Medicine Fellowship Program,
Weill Cornell Medical College. MD Timothy R. Deer President and CEO, The Center for Pain Relief, Clinical Professor of Anesthesiology, West Virginia University School of Medicine, Charleston, West Virginia, USA. Dr. Timothy R. Deer is the President and CEO, The Spine and Nerve Center of The Virginias, Clinical Professor of Anesthesiology and Pain Medicine of the WVU School of Medicine, Chairman of the American Society of Pain and Neuroscience, Past President of the International Neuromodulation Society (INS), and past president of the West Virginia Society of Interventional Pain Physicians (WVSIPP).