Intrathecal Pain Pumps Indications, Patient Selection, Techniques, and Outcomes

被引：15

作者：

Bolash, Robert ^{[1
]}

Mekhail, Nagy ^{[1
]}

机构：

[1] Cleveland Clin, Dept Pain Management, Cleveland, OH 44195 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2014年 / 25卷 / 04期

关键词：

Intrathecal pain pumps; Intrathecal drug delivery; Chronic pain; Intractable spasticity; CHRONIC NONMALIGNANT PAIN; INTERDISCIPLINARY EXPERT PANEL; REFRACTORY CANCER PAIN; CHRONIC NONCANCER PAIN; DRUG-DELIVERY REPORT; COST-EFFECTIVENESS; OPIOID THERAPY; DOSE-ESCALATION; CLINICAL-TRIAL; ZICONOTIDE;

D O I：

10.1016/j.nec.2014.06.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：735 / +

页数：9

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