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, MD, 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.
1. Cover - p. 1 2. Title Page - p. 2 3. Front Matter - p. 3 4. Copyright - p. 4 5. Dedication - p. 5 6. Contributors - p. 6 7. Preface - p. 8 8. Acknowledgments - p. 9 9. Table of Contents - p. 10 10. Section I: General Considerations - p. 11 11. Chapter 1: Basic Science of Spinal Receptors - p. 12 12. Chapter 2: Pharmacological Agents and Compounding of Intrathecal Drugs - p. 24 13. Chapter 3: Polyanalgesia for Implantable Drug Delivery Systems - p. 35 14. Chapter 4: Principles of Patient Management for Intrathecal Analgesia - p. 40 15. Chapter 5: Patient Selection for Intrathecal Infusion to Treat Chronic Pain - p. 47 16. Chapter 6: Patient Preparation - p. 53 17. Chapter 7: Psychological Considerations in Intrathecal Drug Delivery - p. 59 18. Chapter 8: Intrathecal Drug Delivery - p. 67 19. Section II: Implant Devices - p. 78 20. Chapter 9: Methods of Trials for Consideration of Intrathecal Drug Delivery Systems - p. 79 21. Chapter 10: Techniques of Implant Placement for Intrathecal Pumps - p. 86 22. Chapter 11: Programmable versus Fixed-Rate Pumps for Intrathecal Drug Delivery - p. 91 23. Chapter 12: SynchroMed EL versus SynchroMed II - p. 95 24. Chapter 13: Minimizing the Risks of Intrathecal Therapy - p. 100 25. Chapter 14: Complications Associated with Intrathecal Drug Delivery Systems - p. 106 26. Section III: Evidence-based Practice - p. 111 27. Chapter 15: Management of Intrathecal Drug Delivery Systems in Patients with Co-Morbidities - p. 112 28. Chapter 16: Cost-Effectiveness of Implanted Drug Delivery Systems - p. 123 29. Chapter 17: Neuroaugmentation by Stimulation versus Intrathecal Drug Delivery Systems - p. 129 30. Chapter 18: Anticoagulation Guidelines and Intrathecal Drug Delivery Systems - p. 136 31. Chapter 19: Intrathecal Therapy for Malignant Pain - p. 143 32. Section IV: Intrathecal Drug Delivery Systems for Spasticity - p. 152 33. Chapter 20: Intrathecal Baclofen Trialing - p. 153 34. Chapter 21: Baclofen Pump Management - p. 160 35. Section V: Future of Intrathecal Drug Delivery Systems - p. 168 36. Chapter 22: Future of Intrathecal Drug Delivery Systems (Including New Devices) - p. 169 37. Chapter 23: Trialing for Ziconotide Intrathecal Analgesic Therapy - p. 173 38. Chapter 24: Perioperative Management of Patients with Intrathecal Drug Delivery Systems - p. 181 39. Index - p. 190
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, MD, 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.
1. Cover - p. 1 2. Title Page - p. 2 3. Front Matter - p. 3 4. Copyright - p. 4 5. Dedication - p. 5 6. Contributors - p. 6 7. Preface - p. 8 8. Acknowledgments - p. 9 9. Table of Contents - p. 10 10. Section I: General Considerations - p. 11 11. Chapter 1: Basic Science of Spinal Receptors - p. 12 12. Chapter 2: Pharmacological Agents and Compounding of Intrathecal Drugs - p. 24 13. Chapter 3: Polyanalgesia for Implantable Drug Delivery Systems - p. 35 14. Chapter 4: Principles of Patient Management for Intrathecal Analgesia - p. 40 15. Chapter 5: Patient Selection for Intrathecal Infusion to Treat Chronic Pain - p. 47 16. Chapter 6: Patient Preparation - p. 53 17. Chapter 7: Psychological Considerations in Intrathecal Drug Delivery - p. 59 18. Chapter 8: Intrathecal Drug Delivery - p. 67 19. Section II: Implant Devices - p. 78 20. Chapter 9: Methods of Trials for Consideration of Intrathecal Drug Delivery Systems - p. 79 21. Chapter 10: Techniques of Implant Placement for Intrathecal Pumps - p. 86 22. Chapter 11: Programmable versus Fixed-Rate Pumps for Intrathecal Drug Delivery - p. 91 23. Chapter 12: SynchroMed EL versus SynchroMed II - p. 95 24. Chapter 13: Minimizing the Risks of Intrathecal Therapy - p. 100 25. Chapter 14: Complications Associated with Intrathecal Drug Delivery Systems - p. 106 26. Section III: Evidence-based Practice - p. 111 27. Chapter 15: Management of Intrathecal Drug Delivery Systems in Patients with Co-Morbidities - p. 112 28. Chapter 16: Cost-Effectiveness of Implanted Drug Delivery Systems - p. 123 29. Chapter 17: Neuroaugmentation by Stimulation versus Intrathecal Drug Delivery Systems - p. 129 30. Chapter 18: Anticoagulation Guidelines and Intrathecal Drug Delivery Systems - p. 136 31. Chapter 19: Intrathecal Therapy for Malignant Pain - p. 143 32. Section IV: Intrathecal Drug Delivery Systems for Spasticity - p. 152 33. Chapter 20: Intrathecal Baclofen Trialing - p. 153 34. Chapter 21: Baclofen Pump Management - p. 160 35. Section V: Future of Intrathecal Drug Delivery Systems - p. 168 36. Chapter 22: Future of Intrathecal Drug Delivery Systems (Including New Devices) - p. 169 37. Chapter 23: Trialing for Ziconotide Intrathecal Analgesic Therapy - p. 173 38. Chapter 24: Perioperative Management of Patients with Intrathecal Drug Delivery Systems - p. 181 39. Index - p. 190
