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Review

Current perspectives on intrathecal drug delivery

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Pages 615-626 | Published online: 06 Nov 2014

Figures & data

Table 1 2012 Polyanalgesic Consensus Committee recommendations for intrathecal medication in neuropathic pain management

Table 2 2012 Polyanalgesic Consensus Committee recommendations for intrathecal medication in nociceptive pain management

Table 3 Recommended starting dosage ranges of intrathecal medications

Table 4 Recommended doses for intrathecal (IT) bolus trialing

Figure 1 Codman 3000 intrathecal pump with progressively increasing reservoir sizes. Courtesy of Codman Neuro.

Figure 1 Codman 3000 intrathecal pump with progressively increasing reservoir sizes. Courtesy of Codman Neuro.

Figure 2 Medtronic SynchroMed II intrathecal pump, programmer, and patient therapy manager. Reprinted with the permission of Medtronic, Inc. © 2012.

Figure 2 Medtronic SynchroMed II intrathecal pump, programmer, and patient therapy manager. Reprinted with the permission of Medtronic, Inc. © 2012.

Figure 3 Prometra intrathecal pump and programmer. Images courtesy of Flowonix Medical Inc.

Figure 3 Prometra intrathecal pump and programmer. Images courtesy of Flowonix Medical Inc.

Figure 4 Patient in the lateral decubitus position for intrathecal drug delivery system implantation. The blue surgical mark indicates anticipated lumbar midline incision for intrathecal catheter placement. Photograph courtesy of MMB.

Figure 4 Patient in the lateral decubitus position for intrathecal drug delivery system implantation. The blue surgical mark indicates anticipated lumbar midline incision for intrathecal catheter placement. Photograph courtesy of MMB.

Figure 5 Patient in the lateral decubitus position for implantation of intrathecal drug delivery system. The blue surgical mark indicates anticipated incision in the left lower quadrant for the pump reservoir pocket. Note the importance of cushioning in this position to avoid complications associated with intraoperative nerve compression injuries. Photograph courtesy of MMB.

Figure 5 Patient in the lateral decubitus position for implantation of intrathecal drug delivery system. The blue surgical mark indicates anticipated incision in the left lower quadrant for the pump reservoir pocket. Note the importance of cushioning in this position to avoid complications associated with intraoperative nerve compression injuries. Photograph courtesy of MMB.

Figure 6 Ultrasound of intrathecal pump. *Indicates the reservoir fill port. Photograph courtesy of MMB.

Figure 6 Ultrasound of intrathecal pump. *Indicates the reservoir fill port. Photograph courtesy of MMB.