Clinical Guidelines for Intraspinal Infusion: Report of an Expert Panel

Consensus guidelines developed by an expert panel are helpful to clinicians when there is variation in practice and lack of a firm evidence base for an intervention, such as intraspinal therapy for pain. An internet-based survey of practitioners revealed remarkable variation in practice patterns sur...

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Published inJournal of pain and symptom management Vol. 20; no. 2; pp. S37 - S43
Main Authors Bennett, Gary, Burchiel, Kim, Buchser, Eric, Classen, Ashley, Deer, Tim, Du Pen, Stuart, Ferrante, F.Michael, Hassenbusch, Samuel J, Lou, Leland, Maeyaert, Jan, Penn, Richard, Portenoy, Russell K, Rauck, Richard, Serafini, Mario, Willis, K.Dean, Yaksh, Tony
Format Journal Article Conference Proceeding
LanguageEnglish
Published New York, NY Elsevier Inc 01.08.2000
Elsevier Science
Subjects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
clinical practice
decision making
guidelines
Intraspinal therapy
intrathecal
Local anesthesia. Pain (treatment)
Medical sciences
intrathecal
guidelines
clinical practice
Intraspinal therapy
decision making
Local anesthetic
Human
Analgesia
Chemotherapy
Chronic
Analgesic
Pain
Treatment
Narcotic analgesic
Long term
Intrathecal administration
Recommendation
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Summary:Consensus guidelines developed by an expert panel are helpful to clinicians when there is variation in practice and lack of a firm evidence base for an intervention, such as intraspinal therapy for pain. An internet-based survey of practitioners revealed remarkable variation in practice patterns surrounding intraspinal therapy. This prompted an interdisciplinary panel with extensive clinical experience in intraspinal infusion therapy to evaluate the results of the survey, the systematic reviews of the literature pertaining to this approach, and their own clinical experience with long-term spinal infusions. The panel proposed a scheme for the selection of drugs and doses for intraspinal therapy, and suggested guidelines for administration that would increase the likelihood of a successful outcome. These expert panel guidelines were designed to provide an initial structure for clinical decision making that is based on the best available evidence and the perspectives of experienced clinicians.
ISSN:0885-3924
1873-6513
DOI:10.1016/S0885-3924(00)00202-5