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Placement of Intrathecal Needle and Catheter for Chronic Infusion

  • Timothy R. Deer
Chapter

Abstract

The decision to place a pump is a complicated medical matter that requires careful evaluation, planning, and technical skill. The catheter is the portion of the procedure that allows direct delivery of drugs to the intrathecal space so it is very important that it be placed in a manner that leads to a satisfactory long-term outcome. This section reviews the essentials for placing and securing an intrathecal catheter for chronic infusion.

Keywords

Cerebral Spinal Fluid Catheter Placement Purse String Suture Purse String Intrathecal Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Deer T, Krames E, Hassenbusch S, et al. Polyanalgesic Consensus Conference 2007: Recommendations for the Management of Pain by Intrathecal (Intraspinal) Drug Delivery: Report of an Interdisciplinary Expert Panel. Neuromodulation. 2007;10:300–328.PubMedCrossRefGoogle Scholar
  2. 2.
    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;20:4040–4049.PubMedCrossRefGoogle Scholar
  3. 3.
    Radhakrishnan L, Duarte R, Mutagi H, Kapur S. Complications of intrathecal drug delivery system implantation for chronic pain: a retrospective review of 62 patients over 16 years: 638. Reg Anesth Pain Med. 2008;33(5):e201.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Pain ReliefCharlestonUSA

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