Spinal anatomy and_intrathecal_drugs

Interventional Pain Management Spinal anatomy and Intrathecal Drug Delivery Amitabh Gulati MSKCC Dept. of Anesthesiology and Critical Care

Objectives ,[object Object],[object Object],[object Object]

The Rexed lamina ,[object Object],[object Object],[object Object],[object Object],[object Object]

Ascending Spinosensory tracts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Descending inhibition ,[object Object],[object Object],[object Object],[object Object],[object Object]

Intraspinal techniques Permanent Epidural, DuPen Intratehcal implantable pump

Opiate receptor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Opiate effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidural administration ,[object Object],[object Object],[object Object],[object Object],Bernards et al. Anesthesiology 2003 Epidural Spread Intrathecal spread

Epidural Opiates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Bernards et al. Anesthesiology 2003

Spinal opiates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Distribution of morphine ,[object Object],[object Object],[object Object],[object Object],[object Object],Flack et al. A&A 2011

Intrathecal opioids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intrathecal bupivacaine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clonidine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ziconotide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Baclofen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Controversy of Trialing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dose Conversions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epidural trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The CSE trial ,[object Object],[object Object]

Tips to convert to IT pump ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

An example ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Spinal anatomy and_intrathecal_drugs

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