Introduction and Background for Intrathecal Pumps Used for Pain and Spasticity -- Intrathecal Drug Delivery for Cancer Related Pain -- The Components of Intrathecal Drug Delivery -- Intrathecal Drug Delivery Trialing -- Targeted Drug Delivery Perioperative Planning Considerations -- Key Steps in the Intrathecal Pain Pump Procedure -- Intrathecal Pump Management -- Pump Management -- Intrathecal Baclofen Pumps -- Post-Operative Care and Complication -- Intrathecal Pump and Catheter Troubleshooting -- Current Intrathecal Pump Costs, Coding and Reimbursement -- Interventional Pain Management in Palliative Care -- The Use of Ziconotide in Intrathecal Drug Therapy.

This book is a comprehensive guide to Targeted Drug Delivery (TDD), also known as Intrathecal Drug Delivery (IDD), and offers an overview to this unique form of treatment. The medication is delivered by intrathecal pumps and is less common than some other techniques for interventional pain management, but is essential in conditions such as refractory pain, cancer pain, multifocal pain, severe spasticity, and in patients who are not candidates for surgical correction of their underlying condition. This book is the first source to describe both the optimal surgical implantation and patient management aspect of this therapy, and thus will be a valuable single reference guide for interventional radiologists, anesthesiologists, physiatrists, oncologists, neurologists, spine surgeons, palliative care physicians, and primary care physicians.