Original scientific paper
Implantable Intrathecal Pumps for Chronic Pain: Highlights and Updates
Frances M. Brand
Ali S. Mchaourabiano
Giorgio Veneziano
Abstract
Management of chronic pain by intrathecal delivery is gaining increasing use. The aim of this article is to review the literature pertinent to implantable devices used for treatment of chronic pain, and to highlight what is known. Articles were obtained from Medline database and reviewed. Practical patient selection criteria, trial management, and surgical technique are described. Expert consensus guidelines for intrathecal medication use are also reviewed. Finally, an exhaustive description of known complications and future implications is discussed. We concluded that intrathecal pump seems to be overused, while there is still weak evidence to support its outcome. It is also recommended that future research focus on the outcome, measured by functional parameters rather than commonly used pain scores.
Keywords
complications; intraoperative; drug delivery systems; drug infusion systems; infusion pumps; infusion systems, drug; pumps
Hrčak ID:
9361
URI
Publication date:
20.2.2007.
Visits: 3.394 *