Spinal Cord Stimulation: Integrating Pain Management into Your Neurosurgical Practice-Intrathecal Pumps: Indications & Techniques

Video Transcription

Video Summary

The video discusses intrathecal pumps and their uses in patient treatment. The speaker emphasizes the potential benefits of these pumps but also acknowledges the risks associated with pump failure. The goals of the video are to understand which patients would make good candidates for intrathecal pump treatment, explore surgical techniques, examine the results for different indications, address pump-related complications, and provide guidance for managing baclofen overdose or withdrawal. The speaker explains that intrathecal pump therapy is effective in delivering drugs more efficiently and with fewer side effects. The video also highlights the importance of knowing the contents of the pump, as patients may have different substances in their pumps. The speaker identifies various indications for intrathecal pump therapy, such as spasticity, secondary dystonia, and cancer pain. The video concludes with the speaker emphasizing the importance of knowing how to manage intrathecal pump patients, as they may require emergency assistance. There is a discussion on troubleshooting pump-related issues, including catheter breakages or occlusions. The video also covers the different pump models available and provides guidance on handling infections and seromas. The speaker cautions that patients may experience withdrawal symptoms if the pump or catheter malfunctions, and highlights the importance of proper programming and drug delivery. The speaker concludes by addressing potential complications such as granulomas and the importance of follow-up care and monitoring for patients with intrathecal pumps.

Asset Subtitle

Jason M. Schwalb, MD, FAANS, FACS

Keywords

intrathecal pumps

patient treatment

surgical techniques

pump-related complications

drug delivery

follow-up care