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- W4378699986 abstract "Intrathecal therapy is an important part of the pain treatment algorithm for chronic disease states. Intrathecal therapy is a viable and relatively safe option for the treatment of cancer- and noncancer-related pain. Targeted intrathecal drug infusion to treat moderate to severe chronic pain has become a standard part of treatment algorithms when more conservative options fail. Intrathecal drug delivery systems (IDDSs) offer an effective therapy for pain control in patients suffering from chronic intractable pain conditions. These devices provide a safer alternative to oral opioid medications with reduced systemic side effects. This chapter presents all of the steps to carry out a proper implant of the pump, starting with explaining the correct patient position through to the filling of the pump once implanted. Each of the steps to get the best result is reviewed and explained: how the patient is to be positioned and where the pump is to be implanted, how the catheter is positioned and where. The tunneling of the intrathecal catheter is complex and different in the case of IDDS devices compared with spinal cord stimulation devices. We review how to perform tunneling properly. The anchoring of the intrathecal catheter is explained to prevent its migration, which is very important in this procedure to avoid complications. Finally, we will review how the pump must be refilled: how to find the portals and avoid the complications of an incorrect filling of the pump." @default.
- W4378699986 created "2023-05-30" @default.
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- W4378699986 date "2024-01-01" @default.
- W4378699986 modified "2023-09-27" @default.
- W4378699986 title "Intrathecal pump implant" @default.
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- W4378699986 doi "https://doi.org/10.1016/b978-0-323-87584-4.00032-2" @default.
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