Balancing an Intrathecal Pump Program: Spasticity vs Pain-Balancing an Intrathecal Pump Program: Spasticity vs Pain

Video Transcription

Video Summary

The video transcript is a discussion focused on the management of intrathecal drug delivery for spasticity and pain. The speakers, Dr. Cindy Ivanhoe, Dr. Brian Burrell, and Dr. Mike Salina, discuss the indications for intrathecal drug delivery and the advantages and disadvantages of this treatment approach. They highlight the importance of a thorough evaluation of patients before considering intrathecal therapy, including a psychological evaluation for pain patients. The speakers emphasize the need for a trial phase to assess the response to intrathecal drug delivery and to adjust medications as needed. They also discuss the importance of post-implant rehabilitation and ongoing management for optimal outcomes. Dr. Burrell focuses on the management of intrathecal pump dysfunction and complications, while Dr. Salina discusses the similarities and differences between intrathecal drug delivery for pain and spasticity. He highlights the importance of considering psychological factors and discusses the off-label use of medications. The speakers conclude by discussing future developments in intrathecal drug delivery, including longer battery life and remote access for titration and weaning of medications.

Keywords

intrathecal drug delivery

spasticity

pain management

evaluation

medication adjustment

post-implant rehabilitation

complications

psychological factors

future developments