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SNAPSHOT™

Best Practices in Intrathecal Therapy for Chronic Pain

Patient Selection, Treatment Initiation, and Ongoing Monitoring

Suggested Readings

Medical practice perspective: identification and mitigation of risk factors for mortality associated with intrathecal opioids for non-cancer pain.

Coffey RJ, et al. Pain Med. 2010;11(7):1001-9. (Replacement for deleted article below) doi: 10.1111/j.1526-4637.2010.00889.x.

Intrathecal Ziconotide and Opioid Combination Therapy for Noncancer Pain: an Observational Study

Deer TR, et al. Pain Physician. 2009;12(4):E291-E296.

A Predictive Model for Intrathecal Opioid Dose Escalation for Chronic Non-Cancer Pain

Duarte RV, et al. Pain Physician. 2012;15(5):363-369

Prospective Study of 3-Year Follow-up of Low-Dose Intrathecal Opioids in the Management of Chronic Nonmalignant Pain

Hamza M, et al. Pain Med. 2012;13(10):1304-1313.

Long-term Outcomes Using Intrathecal Drug Delivery Systems in Complex Regional Pain Syndrome.

Herring EZ, et al. Pain Med. 2018 Jun 7. doi: 10.1093/pm/pny104. [Epub ahead of print]

Effectiveness and Safety of Intrathecal Ziconotide: Interim Analysis of the Patient Registry of Intrathecal Ziconotide Management (PRIZM).

Deer T, et al. Pain Pract. 2018;18(2):230-238. doi: 10.1111/papr.12599.

Androgen Deficiency in Long-term Intrathecal Opioid Administration

Kim CH, et al. Pain Physician. 2014;17(4):E543-E548.

Use of Low Dose Ziconotide as First-Line Intrathecal Monotherapy.

Prusik J, et al. Neuromodulation. 2017;20(4):386-391. doi: 10.1111/ner.12486.

Practical Considerations and Patient Selection for Intrathecal Drug Delivery in the Management of Chronic Pain

Saulino M, et al. J Pain Res. 2014;7:627-638. 

Safety and Efficacy of Intrathecal Ziconotide in the Management of Severe Chronic Pain

Smith HS, Deer TR. Ther Clin Risk Manag. 2009;5(3):521-534.

Long-term Intrathecal Ziconotide for Chronic Pain: an Open-Label Study

Webster LR, et al. J Pain Symptom Manage. 2009;37(3):363-372.

Clinical Accuracy and Safety Using the SynchroMed II Intrathecal Drug Infusion Pump

Wesemann K, et al. Reg Anesth Pain Med. 2014;39(4):341-346.

Programmable Intrathecal Pumps for the Management of Chronic Pain: Recommendations for Improved Efficiency

Wilkes D. J Pain Res. 2014;7:571-577.

Interactive Presentation

An Overview of Intrathecal Drug Delivery

Timothy R. Deer, MD, DABPM


Patient Perspectives

Timothy R. Deer, MD, DABPM


Replacement of an Intrathecal Catheter

Timothy R. Deer, MD, DABPM


Activity
Evolving Best Practices With Intrathecal Analgesics

Improving the Care of Patients With Severe Chronic Pain

Activity
Intrathecal Drug Delivery for Chronic Pain

Evolving Best-Practice Strategies to Maximize Efficacy and Safety

Activity
Overview of Intrathecal Therapy For Chronic Pain

Module 1

Activity
Selecting Patients Who May Benefit From Intrathecal Drug Delivery For Severe Chronic Pain

Module 2

Activity
Initiating Intrathecal Therapy For Patients With Severe Chronic Pain

Module 3

Activity
Long-Term Monitoring Of Patients Treated With Intrathecal Analgesics

Module 4

Relevant Resources

Persistent and Breakthrough Pain

Balancing the Benefits and Risk of Opioid-Based Therapy

Improving the Care of Patients With Chronic Pain

Individualized Assessment and Mechanism-Based Multimodal Treatment

Caring For Patients With Chronic Pain

Responsible Opioid Prescribing to Achieve Individualized Functional Goals

Acute Management of Migraine Attacks

Overcoming Pain and Gastrointestinal Distress to Improve Patient Outcomes

Opioid-Induced Constipation

Proactive Diagnosis and Targeted Management

Intrathecal Drug Delivery for Chronic Pain

Selecting Patients and Optimizing Long-Term Outcomes

Opioid-Induced Constipation

Proactive Diagnosis and Targeted Management

Clinical Issues in Chronic Pain

Consensus and Controversies for Responsible Opioid Prescribing

Intrathecal Drug Delivery for Chronic Pain

The Role of Nurses in Optimizing Long-term Outcomes

Intrathecal Drug Therapy for Chronic Pain

Evolving Best-Practice Strategies to Maximize Efficacy and Safety

Comprehensive Chronic Pain Management

A Focus on Patients With Opioid-Induced Constipation

Overcoming Challenges in Cancer Pain Management

Engaging With Patients About Opioid-Induced Constipation

Can You Spot Axial Spondyloarthritis?

The PCP’s Role in Timely Recognition and Referral

Clinical Issues in Chronic Pain

Debates and Discussions About Therapeutically Targeting Nerve Growth Factor Signaling

Comprehensive Relief from Cancer Pain

Expanding the Conversation on Opioid-Induced Constipation