Techniques in Regional Anesthesia & Pain Management
Volume 15, Issue 4 , Pages 155-157, October 2011

Implementing and managing intrathecal pumps

  • Oscar A. de Leon-Casasola, MD

      Affiliations

    • Department of Anesthesiology, School of Medicine, University at Buffalo, Buffalo, New York
    • Department of Anesthesiology, Division of Pain Medicine, Roswell Park Cancer Institute, Buffalo, New York
    • Corresponding Author InformationAddress reprint requests and correspondence: Oscar A. de Leon-Casasola, MD, Department of Anesthesiology, University at Buffalo and Roswell Park Cancer Institute, Buffalo, NY 14263

The use of intrathecal therapy is associated with increase quality of analgesia and a decrease in side effects in patients who have not tolerated oral pharmacological therapy AND have had a successful epidural trial. Steps to achieve a high degree of success are delineated in this article, including ideal catheter tip position, indication and use of medications for the infusion, rate of infusion, etc. Moreover, recommendations to follow before and after a myelogram through the pump are given.

Keywords:  Intrathecal therapy , Opioids , Bupivacaine , Clonidine

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1084-208X(11)00093-0

doi:10.1053/j.trap.2011.10.004

Techniques in Regional Anesthesia & Pain Management
Volume 15, Issue 4 , Pages 155-157, October 2011

Article Tools