Clinical guidelines for intraspinal infusion: Report of an expert panel

被引：77

作者：

Bennett, G

Burchiel, K

Buchser, E

Classen, A

Deer, T

Du Pen, S

Ferrante, FM

Hassenbusch, SJ

Lou, L

Maeyaert, J

Penn, R

Portenoy, RK

Rauck, R

Serafini, M

Willis, KD

Yaksh, T

机构：

[1] Univ Texas, MD Anderson Canc Ctr, Dept Neurosurg, Houston, TX 77030 USA

[2] Med Coll Penn & Hahnemann Univ, Dept Neurol, Philadelphia, PA 19102 USA

[3] Oregon Hlth Sci Univ, Dept Neurol Surg, Portland, OR 97201 USA

[4] Hop Zone Morges, Anaesthesia & Pain Management Serv, Morges, Switzerland

[5] Trinity Pain Med Assoc PA, Ft Worth, TX USA

[6] Ctr Pain Relief, Charleston, WV USA

[7] Swedish Hosp, Dept Anesthesia, Seattle, WA USA

[8] Univ Penn Hlth Syst, Pain Med Ctr, Philadelphia, PA USA

[9] Texas Tech Univ, Hlth Sci Ctr, Dept Anesthesiol, Lubbock, TX 79430 USA

[10] AZ St Lucas, Ghent, Belgium

[11] Mt Sinai Med Ctr, Dept Neurosurg, New York, NY 10029 USA

[12] Beth Israel Med Ctr, Dept Pain Med & Palliat Care, New York, NY 10003 USA

[13] Wake Forest Univ, Baptist Med Ctr, Pain Control Ctr, Winston Salem, NC 27109 USA

[14] Ctr Pain Relief, Clarksburg, WV USA

[15] Alabama Pain Ctr, Huntsville, AL USA

[16] Univ Calif San Diego, Dept Anesthesiol, San Diego, CA 92103 USA

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 2000年 / 20卷 / 02期

关键词：

intraspinal therapy; intrathecal; guidelines; clinical practice; decision making;

D O I：

10.1016/S0885-3924(00)00202-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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 surroundings 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 prospectives of experienced clinicians. (C) U.S. Cancer Pain Relief Committee, 2000.

引用

页码：S37 / S43

页数：7

共 4 条

[1]

*AM PAIN SOC, 1999, PRINC AN US TREATM A

[2]

[Anonymous], 1994, AHCPR PUBLICATION

[3] MYOCLONIC SEIZURE ACTIVITY WITH CHRONIC HIGH-DOSE SPINAL OPIOID ADMINISTRATION [J].