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Intrathecal Drug Delivery for Pain and Spasticity
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Table of Contents

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

About the Author

MD Timothy R. Deer is a clinical professor of anesthesiology at the West Virginia University School of Medicine, where he also received his medical degree. He completed his training in anesthesiology and pain medicine at the University of Virginia. Dr. Deer has published on a range of topics, including injection techniques, minimally invasive disc procedures, intrathecal drug delivery, and spinal cord and peripheral nerve stimulation. He lectures at many national and international symposiums and has been involved in the hands-on training of more than a thousand interventional pain specialists. He serves on the board of directors of the North American Neuromodulation Society and American Academy of Pain Medicine. He is a past chair of the committee on pain medicine of the American Society of Anesthesiologists, a member of the editorial board of the journal Neuromodulation, president of the West Virginia Society of Interventional Pain Physicians, and serves on several other boards and committees.

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