Perioperative care with intrathecal drug delivery systems

Alyson M. Engle*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Intrathecal drug delivery systems are devices that function to provide a continuous infusion of a drug into the intrathecal (IT) space via a sialastic catheter placed within the cerebrospinal fluid. Intrathecal drug delivery systems are considered to be potential therapy for patients with chronic pain once they fail conservative therapies or if the patient cannot tolerate the side effects of traditional therapy. These systems can provide personalized therapy by means of delivering therapeutic drug levels for extended periods of time at a specified target while minimizing the systemic levels of the drug. The option to deliver personalized therapy with precision is one key advantage of intrathecal drug delivery systems. This chapter will focus on best practices and guidelines for selecting when to incorporate intrathecal drug delivery systems into the pain care algorithm.

Original languageEnglish (US)
Title of host publicationNeuromodulation Techniques for the Spine
Subtitle of host publicationA Volume in the Atlas of Interventional Pain Management Series
PublisherElsevier
Pages163-172
Number of pages10
ISBN (Electronic)9780323875844
ISBN (Print)9780323875851
DOIs
StatePublished - Jan 1 2023

Keywords

  • chronic pain
  • complications
  • intrathecal drug delivery
  • Perioperative care

ASJC Scopus subject areas

  • General Medicine

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