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24th Napa Pain Conference

NPC2017-Sa07a - Intrathecal Drug Delivery Systems: No Longer a Novel Therapy, Another Neuromodulation Solution to the Opioid Epidemic

Aug 19, 2017 2:00pm ‐ Aug 19, 2017 4:00pm

Credits: None available.



A brief historical review of PACC guidelines and changes in the 2016 version and new training guidelines for IT therapy. Future plans for credentialing and centers of excellence.

  • Case example of failures in IDDS therapy when sound practices are not followed.
  • Special challenges and solutions to providing IDDS care for cancer patients in remote locations and with various insurance coverages.
  • Special challenges and solutions to providing IDDS care for spasticity and chronic non-malignant pain.
  • How to integrate IDDS in a multidisciplinary fashion to improve perioperative outcomes.
  • Panel Q&A at the end


2:00 Introduction & PACC Guideline Update: The Long Road to Improved Outcomes, Enhanced Professionalism & Credentialing: Lawrence Poree, MD, PhD, MPH
2:20 Cost Benefit Analysis: IDD vs. CMM for Cancer Pain: Lisa Stearns, MD
2:40 Lessons Learned from Failure Analysis Used to Improve Success with IDDS: Michael Saulino, MD
3:00 Avoiding & Managing Typical & Atypical Surgical Complications in Patients with IDDS & When to Seek Neurological Consult: Line Jacques, MD
3:20 Complex Spine Surgery in Patients with IDDS: Sigurd Berven, MD
3:40 Panel Q&A: All


As a result of completing this course, learners will be able / better able to:

  • Understand current guidelines for IT medication usage and training requirements.
  • Weight the cost benefit of IDDS vs medical management.
  • Minimize IDDS failures for both pain and spasticity.
  • Prevent or manage surgical complications for IT pump placements.
  • Coordinate and implement a perioperative plan for patients with IDDS undergoing complex spine surgery.


  • Dr. Lawrence Poree, MD, PhD. MPH, Clinical Professor, Department of Anesthesia, University of California at San Francisco (UCSF)
  • Dr. Lisa J. Stearns, MD, Founder, Center for Pain and Supportive Care
  • Dr. Michael Saulino, MD, PhD, Clinical Director, Intrathecal Therapy Services, MossRehab
  • Dr. Line Jacques, MD, Professor of Neurosurgery, University of California, San Francisco
  • Dr. Sigurd H. Berven, MD, Professor in Residence, UCSF Dept of Orthopaedic Surgery
Category: CME


Credits: None available.

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