Optimizing pain control through the use of implantable pumps

Wilfried Ilias1, Boris Todoroff21Dept Anesthesiology, Intensive Care Medicine and Pain Therapy, Academic Teaching Hospital St. John of God, Vienna, Austria; 2Dept. Plastic and Reconstructive Surgery, Hospital of St. Vincent, Vienna, AustriaAbstract: Intrathecal therapy represents an effective and we...

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Autores principales:	Boris Todoroff, Wilfried Ilias
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/16e8761409ee41a3bfb4c4c7f4f53f95
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spelling	oai:doaj.org-article:16e8761409ee41a3bfb4c4c7f4f53f952021-12-02T00:55:53ZOptimizing pain control through the use of implantable pumps1179-1470https://doaj.org/article/16e8761409ee41a3bfb4c4c7f4f53f952008-10-01T00:00:00Zhttp://www.dovepress.com/optimizing-pain-control-through-the-use-of-implantable-pumps-a2495https://doaj.org/toc/1179-1470Wilfried Ilias1, Boris Todoroff21Dept Anesthesiology, Intensive Care Medicine and Pain Therapy, Academic Teaching Hospital St. John of God, Vienna, Austria; 2Dept. Plastic and Reconstructive Surgery, Hospital of St. Vincent, Vienna, AustriaAbstract: Intrathecal therapy represents an effective and well established treatment of nonmalignant as well as malignant pain. Devices available include mechanical constant flow pumps as well as electronic variable flow pumps with patient-controlled bolus release. The latter provide faster dose finding, individual pain control, and good acceptance by patients. New technologies such as membrane pumps and rechargeable devices are expected to be developed to clinical perfection. The available drugs for intrathecal therapy are listed according to the polyanalgesic consensus on intrathecal therapy. The integration of remote patient-controlled analgesia into electronic implantable devices, and the peptide analgesic ziconotide, have significantly improved intrathecal therapy. Complications include infections, catheter ruptures or disconnections, catheter granulomas, and technical dysfunctions. Further possibilities for optimizing intrathecal therapy include development of new drugs, drug side effects, catheter and pump technologies, and surgical techniques.Keywords: intrathecal therapy, implantable pumps, morphine pumps, intrathecal drugs, intrathecal catheters, intrathecal pain control Boris TodoroffWilfried IliasDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2008, Iss default, Pp 41-47 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical technology R855-855.5
spellingShingle	Medical technology R855-855.5 Boris Todoroff Wilfried Ilias Optimizing pain control through the use of implantable pumps
description	Wilfried Ilias1, Boris Todoroff21Dept Anesthesiology, Intensive Care Medicine and Pain Therapy, Academic Teaching Hospital St. John of God, Vienna, Austria; 2Dept. Plastic and Reconstructive Surgery, Hospital of St. Vincent, Vienna, AustriaAbstract: Intrathecal therapy represents an effective and well established treatment of nonmalignant as well as malignant pain. Devices available include mechanical constant flow pumps as well as electronic variable flow pumps with patient-controlled bolus release. The latter provide faster dose finding, individual pain control, and good acceptance by patients. New technologies such as membrane pumps and rechargeable devices are expected to be developed to clinical perfection. The available drugs for intrathecal therapy are listed according to the polyanalgesic consensus on intrathecal therapy. The integration of remote patient-controlled analgesia into electronic implantable devices, and the peptide analgesic ziconotide, have significantly improved intrathecal therapy. Complications include infections, catheter ruptures or disconnections, catheter granulomas, and technical dysfunctions. Further possibilities for optimizing intrathecal therapy include development of new drugs, drug side effects, catheter and pump technologies, and surgical techniques.Keywords: intrathecal therapy, implantable pumps, morphine pumps, intrathecal drugs, intrathecal catheters, intrathecal pain control
format	article
author	Boris Todoroff Wilfried Ilias
author_facet	Boris Todoroff Wilfried Ilias
author_sort	Boris Todoroff
title	Optimizing pain control through the use of implantable pumps
title_short	Optimizing pain control through the use of implantable pumps
title_full	Optimizing pain control through the use of implantable pumps
title_fullStr	Optimizing pain control through the use of implantable pumps
title_full_unstemmed	Optimizing pain control through the use of implantable pumps
title_sort	optimizing pain control through the use of implantable pumps
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/16e8761409ee41a3bfb4c4c7f4f53f95
work_keys_str_mv	AT boristodoroff optimizingpaincontrolthroughtheuseofimplantablepumps AT wilfriedilias optimizingpaincontrolthroughtheuseofimplantablepumps
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Optimizing pain control through the use of implantable pumps

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