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This book is a comprehensive guide to Targeted Drug Delivery (TDD), also known as Intrathecal Drug Delivery (IDD), and offers an overview to this unique form of treatment. The medication is delivered by intrathecal pumps and is less common than some other techniques for interventional pain management, but is essential in conditions such as refractory pain, cancer pain, multifocal pain, severe spasticity, and in patients who are not candidates for surgical correction of their underlying condition.
This book is the first source to describe both the optimal surgical implantation and patient management aspect of this therapy, and thus will be a valuable single reference guide for interventional radiologists, anesthesiologists, physiatrists, oncologists, neurologists, spine surgeons, palliative care physicians, and primary care physicians.
Preface
Acknowledgements
Introduction and Background for Intrathecal Pumps Used for Pain and Spasticity
Intrathecal Drug Delivery for Cancer-Related Pain
The Components of Intrathecal Drug Delivery
Intrathecal Drug Delivery Trialing
Targeted Drug Delivery Perioperative Planning Considerations
Key Steps in the Intrathecal Pain Pump Procedure
Intrathecal Pump Management
Pump Management: Intrathecal Baclofen Pumps
Postoperative Care and Complication
Intrathecal Pump and Catheter Troubleshooting
Current Intrathecal Pump Costs, Coding, and Reimbursement
Interventional Pain Management in Palliative Care