Intrathecal Drug Therapy for Spasticity and Pain Practical Patient Management [Paperback]

A practical manual for nurses and physician assistants using this new technology, supplying them with the information necessary to utilise it effectively, including pump mechanics and the pharmacology of drug delivery. This is the only book of its kind, and its users at over 100 facilities have relied solely on the pump manufacturers manuals. The authors are from a leading centre for research and application of these pumps and, working with Dr. Richard Penn, have spent years developing their skills - Dr. Penn has personally implanted over 3,000 pumps.INTRATHECAL DRUG THERAPY FOR SPASTICITY AND PAIN is a practical manual for nurses and physician assistants who use Intrathecal Drug Infusion for treating patients suffering from spasticity and chronic pain. This book supplies users of this new technology with the information they need to utilize it effectively, including pump mechanics and the pharmacology of drug delivery. No other book of its kind exists, and its users at the over 100 facilities that use implanted drug delivery have relied solely on the pump manufacturer's manuals. The authors are from a leading center for research and applied use of these pumps and, working with Dr. Richard Penn, have spent years developing the skills necessary to utilize this system efficiently. Dr. Penn, who writes the Foreword, has personally implanted over 3000 pumps.1 Introduction.- 2 Spinal Cord Anatomy.- 3 Implantable Delivery Systems.- 4 The Operative Course.- 5 Pharmacology of Baclofen and Morphine.- 6 Intrathecal Baclofen for Spasticity.- Spasticity.- Current methods of treatment.- Benefits of reduced spasticity.- Patient selection.- Screening procedures.- Patient management.- Tolerance.- 7 Intraspinal Morphine for Pain.- Physiology of pain.- Intrathecal drug dosing.- Supplemental opioids.- Adverse intraspinal drug effects.- Patient education.- Case study.- 8 Mechanical System Complications.- 9 Starting Up a Program.- 10 Current Controversies and Future Applications.- Referlӷ