Mahawar B, Kannan A, Mahawar V, Srinivasan S
Interventional Pain and Palliative Care Department, Ramkrishna CARE Hospital, Raipur, 492001, India.
Department of Anaesthesiology, Singapore General Hospital, Singapore, 169608, Republic of Singapore.
Clin Radiol. 2023 Apr;78(4):240-244. doi: 10.1016/j.crad.2023.02.002. Epub 2023 Feb 16.
Chronic pain is a significant global health issue, described as a bio-psychosocial phenomenon that hampers the integration of body, mind, and social functions. To relieve chronic intractable pain, intrathecal drug-delivery devices (IDDDs) are the last resort after conventional treatment options have been exhausted. This article outlines the indications, pharmacological agents, types, techniques, preparation of the patient, and complications of IDDDs for the management of challenging chronic pain (non-neoplastic and cancer-related pain) conditions in patients who have not responded well to a commonly used conventional line of treatment.
慢性疼痛是一个重大的全球健康问题,被描述为一种阻碍身体、心理和社会功能整合的生物心理社会现象。为缓解慢性顽固性疼痛,鞘内给药装置(IDDDs)是在常规治疗方案用尽后的最后手段。本文概述了鞘内给药装置在治疗对常用常规治疗方案反应不佳的患者具有挑战性的慢性疼痛(非肿瘤性和癌症相关疼痛)情况时的适应症、药物、类型、技术、患者准备及并发症。