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Placement of Intrathecal Needle and Catheter for Chronic Infusion

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Atlas of Implantable Therapies for Pain Management

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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.

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Suggested Reading

  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.

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  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.

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  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.

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Authors and Affiliations

  1. Center for Pain Relief, Court St. 400, 25301, Charleston, West Virginia, USA

    Timothy R. Deer

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  1. Timothy R. Deer
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Correspondence to Timothy R. Deer .

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© 2011 Springer Science+Business Media, LLC

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Deer, T.R. (2011). Placement of Intrathecal Needle and Catheter for Chronic Infusion. In: Atlas of Implantable Therapies for Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88567-4_22

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  • DOI: https://doi.org/10.1007/978-0-387-88567-4_22

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-88566-7

  • Online ISBN: 978-0-387-88567-4

  • eBook Packages: MedicineMedicine (R0)

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