Polyanalgesic Consensus Conference 2003: an update on the management of pain by intraspinal drug delivery-- report of an expert panel

Détails

ID Serval
serval:BIB_00744AD3D0F1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Polyanalgesic Consensus Conference 2003: an update on the management of pain by intraspinal drug delivery-- report of an expert panel
Périodique
Journal of Pain and Symptom Management
Auteur(s)
Hassenbusch  S. J., Portenoy  R. K., Cousins  M., Buchser  E., Deer  T. R., Du Pen  S. L., Eisenach  J., Follett  K. A., Hildebrand  K. R., Krames  E. S., Levy  R. M., Palmer  P. P., Rathmell  J. P., Rauck  R. L., Staats  P. S., Stearns  L., Willis  K. D.
ISSN
0885-3924 (Print)
Statut éditorial
Publié
Date de publication
06/2004
Volume
27
Numéro
6
Pages
540-63
Notes
Consensus Development Conference
Guideline
Journal Article
Research Support, Non-U.S. Gov't
Review --- Old month value: Jun
Résumé
Intraspinal drug infusion using fully implantable pump and catheter systems is a safe and effective therapy for selected patients with chronic pain. The options for this approach are increasing, as drugs that are commercially available for systemic administration are adapted to this use and other drugs that are in development specifically for intraspinal administration become available. In 2000 a Polyanalgesic Consensus Conference was organized to evaluate the existing literature and develop guidelines for drug selection. The major outcome of this effort, an algorithm for drug selection, was based on the best available evidence at the time. Rapid changes have occurred in the science and practice of intraspinal infusion and a Polyanalgesic Consensus Conference 2003 was organized to pursue the following goals: 1) to review the literature on intraspinal drug infusion since 1999, 2) to revise the 2000 drug-selection algorithm, 3) to develop guidelines for optimizing drug dosage and concentration, 4) to create a process for documenting minimum evidence supporting the use of a drug for intraspinal infusion, and 5) to clarify issues pertaining to compounding of drugs. Based on the best available evidence and expert opinion, consensus recommendations were developed in all these areas. The panel's conclusions may provide a foundation for clinical practice and a rational basis for new research.
Mots-clé
Algorithms Analgesics/*administration & dosage/*standards *Decision Support Techniques Drug Administration Schedule Drug Compounding/methods/standards Expert Testimony/methods Humans Injections, Spinal/*methods/*standards Pain/*drug therapy Patient Care Management/methods/standards Practice Guidelines United States
Pubmed
Web of science
Création de la notice
28/01/2008 10:41
Dernière modification de la notice
20/08/2019 12:22
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