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https://link.springer.com/chapter/10.1007%2F978-1-4939-2110-2_35
With the development of implantable, programmable, continuous drug delivery systems in the 1980s, the use of intraspinal opioids became part of the modern treatment algorithm. The availability of these devices led to interest in using pumps to treat cancer pain, noncancer pain, and intractable spasticityAuthor: Timothy R. Deer
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227625/
Nov 06, 2014 · History of intrathecal analgesia and intrathecal drug delivery systems. In 1898, soon after the discovery of cocaine as a local anesthetic, August Bier documented the first spinal analgesia by injecting cocaine into his own intrathecal space as well as that of six patients who were to undergo lower extremity surgery, thus creating immense interest in this technique.5 Soon after, Rudolph Matas ...
https://www.britishpainsociety.org/static/uploads/resources/files/ITDD_2015_version_patients_Final.pdf
4 Intrathecal drug delivery systems for treating pain and spasms A pump (see Figure 1) delivers medication directly to the (intrathecal) space in your spine. Your spine is made up of a number of bony supports at the front and arches at the back. At the centre of these arches lies the spinal cord.
https://academic.oup.com/bjaed/article/14/1/27/336442
Sep 04, 2013 · Intrathecal drug delivery (ITDD) systems comprise an IT catheter connected to a drug reservoir, which may be externalized and connected to a pump, or fully implanted. Two groups of patients may benefit from ITDD: those with spasticity (baclofen) and those with refractory pain.Author: Louise Lynch
https://www.neuromodulation.com/pump
Intrathecal or Intraspinal Drug Delivery (IDD) Overview. In intrathecal drug delivery, pain medications and/or medications used for spasticity are introduced directly to the spinal fluid (intrathecal space) through a drug delivery system comprised of a pump and catheter.
https://www.neuromodulation.com/fact_sheet_intrathecal_drug_delivery
The implanting physician will work with a patient’s primary care doctor to adjust and monitor an overall medical regime, including any prescription medications used in addition to the intrathecal drug. Adjusting to Life with an Intrathecal Drug Delivery System. A patient may truly begin to notice reduced symptoms after several weeks.
https://www.medtronic.com/us-en/healthcare-professionals/therapies-procedures/neurological/targeted-drug-delivery.html
Targeted Drug Delivery Healthcare Professionals. CONFIDENT PROGRAMMING ACCOMPLISHED . Medtronic provides the latest in programming technology with the SynchroMed™ II Clinician Programmer featuring visuals, workflow guides, a vibrant backlit screen, and a wireless communicator to help simplify programming.
https://www.mypcnow.org/fast-fact/intrathecal-drug-therapy-for-pain/
Background Intrathecal (IT) drug delivery can be an invaluable adjunct in the management of severe and refractory pain. While most of the evidence supporting the use of IT pain pumps in palliative care settings has been largely based on case series and consensus statements, one prospective randomized clinical trial of cancer patients with refractory pain, suggested …
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