Intrathecal therapy for cancer pain: Best practices Book Section


Authors: Lawrence, M. M.; Gulati, A.
Editors: Yaksh, T.; Hayek, S.
Article/Chapter Title: Intrathecal therapy for cancer pain: Best practices
Abstract: Intrathecal (IT) analgesic infusions have been used for decades to treat patients with chronic pain and are often used in patients who are either refractory to more conservative measures or are intolerant to systemic treatment side effects. Patients with cancer often suffer from refractory pain and thus IT therapy can be an effective treatment option for pain control. The treatment of cancer pain can be challenging and presents unique issues when compared to the treatment of non-cancer pain with intrathecal drug delivery systems (IDDSs). When considering an IDDS for cancer pain one must take into consideration the issues of patient survival, type of device, risk/benefit, and cost/benefit ratio. The focus of this chapter is using IDDSs for cancer pain. © Springer Nature Switzerland AG 2023.
Keywords: side effect; cancer pain; pumps; chronic pain; medical computing; drug interactions; diseases; infusion; intrathecal; pump; controlled drug delivery; best practices; drug-delivery systems; implantable; refractory materials; trialing; analgesic infusion
Book Title: Neuraxial Therapeutics: A Comprehensive Guide
ISBN: 978-3-031-39557-4
Publisher: Springer Nature  
Publication Place: Cham, Switzerland
Date Published: 2023-01-01
Start Page: 663
End Page: 670
Language: English
DOI: 10.1007/978-3-031-39558-1_31
PROVIDER: scopus
DOI/URL:
Notes: Book Chapter -- Source: Scopus
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  1. Amitabh Gulati
    154 Gulati