Intrathecal Drug Delivery for Pain and Spasticity book cover

Intrathecal Drug Delivery for Pain and Spasticity

Volume 2: A Volume in the Interventional and Neuromodulatory Techniques for Pain Management Series; Expert Consult Enhanced Online Features and Print

Intrathecal Drug Delivery for Pain and Spasticity - a volume in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, MD, offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. With access to the fully searchable text at, you’ll have the detailed visual assistance you need right at your fingertips.




Hardbound, 224 Pages

Published: September 2011

Imprint: Saunders

ISBN: 978-1-4377-2217-8


  • SECTION I: General Considerations

    Chapter 1: Basic Science of Spinal Receptors

    Chapter 2: Pharmacologic Agents and Compounding of Intrathecal Drugs

    Chapter 3: Polyanalgesia for Implantable Drug Delivery Systems

    Chapter 4: Principles of Patient Management for Intrathecal Analgesia

    Chapter 5: Patient Selection for Intrathecal Infusion to Treat Chronic Pain

    Chapter 6: Patient Preparation

    Chapter 7: Psychological Considerations in IDD

    Chapter 8: Intrathecal Drug Delivery: Medical Necessity, Documentation, Coding and Billing


    SECTION II: Implant Devices

    Chapter 9: Methods of Trials for Consideration of ITDDS

    Chapter 10: Techniques of Implant Placement for Intrathecal Pumps

    Chapter 11: Programmable versus Fixed-Rate Pumps for Intrathecal Drug Delivery

    Chapter 12: SynchroMed EL vs SynchroMed II

    Chapter 13: Minimizing the Risks of Intrathecal Therapy

    Chapter 14: Complications Associated with Intrathecal Drug Delivery Systems

    SECTION III: Evidence-based practice

    Chapter 15: Management of ITDDS in Patients with Co-Morbidities

    Chapter 16: Cost-Effectiveness of Implanted Drug Delivery Systems

    Chapter 17: Neuroaugmentation by Stimulation vs. Intrathecal Drug Delivery Systems

    Chapter 18: Anticoagulation guidelines and Intrathecal Drug Delivery Systems

    Chapter 19: Intrathecal Therapy for Malignant Pain

    SECTION IV: ITDDs for spasticity

    Chapter 20: Intrathecal Baclofen Trialing

    Chapter 21: Baclofen Pump Management

    SECTION V: Future of ITDDs

    Chapter 22: Future of Intrathecal Drug Delivery Systems (including new devices)

    Chapter 23: Trialing for Ziconotide Intrathecal Analgesic Therapy

    Chapter 24: Perioperative Management of Patients with ITDDS


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