Intrathecal pain pumps: indications, patient selection,

Neurosurg. Clin. N. Am. · Oct 2014

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Intrathecal pain pumps: indications, patient selection, techniques, and outcomes.

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.

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- Robert Bolash and Nagy Mekhail.
- Department of Pain Management, Cleveland Clinic, 9500 Euclid Avenue/C25, Cleveland, OH 44195, USA.
- Neurosurg. Clin. N. Am. 2014 Oct 1;25(4):735-42.
AbstractIntrathecal 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.

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Intrathecal pain pumps: indications, patient selection, techniques, and outcomes.

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