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Intrathecal Drug Delivery Systems (IDDS): No Longer a Novel Therapy, Another Neuromodulation Solution to the Opioid Epidemic

Designed for: Intermediate learners

Moderator: Lawrence Poree, MD, PhD, MPH
Professor & Director of Neuromodulation Service, Department of Anesthesia & Perioperative Care, University of California San Francisco
Treasurer, North American Neuromodulation Society (NANS)
California Society of Interventional Pain Physicians BOD



  • 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 remove 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
Speaker:    Lawrence Poree, MD, PhD, MPH

2:20          Cost Benefit Analysis: IDD vs. CMM for Cancer Pain
Speaker:    Lisa Stearns, MD

2:40          Lessons Learned from Failure Analysis Used to Improve Success with IDDS
Speaker:    Michael Saulino, MD

3:00          Avoiding & Managing Typical & Atypical Surgical Complications in Patients with IDDS & When to Seek Neurological Consult
Speaker:    Line Jacques, MD

3:20          Complex Spine Surgery in Patients with IDDS
Speaker:    Sigurd Berven, MD

3:40          Panel Q&A
Speaker:    All



Learning Objectives 

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

  • Understand current guidelines for IT medication usage and training requirements
  • Understand the cost benefit of IDDS vs medical management
  • Understand how to minimize IDDS failures for both pain and spasticity
  • Understand how to prevent and managing surgical complications for IT pump placements
  • Understand how to coordinate and implement perioperative plan for patients with IDDS undergoing complex spine surgery




August 19 @ 14:00

2:00 pm

– 4:00 pm


Meritage A

Lawrence Poree MD PhD MPH, Line Jacques MD, Lisa Stearns MD, Michael Saulino MD, Sigurd Berven MD