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Information for professionals on intrathecal catheter management

We have written detailed guidelines and action cards to support healthcare professionals involved in the management of patients with tunnelled intrathecal catheters. The full guidelines document can be downloaded here.

 Individual action cards can be downloaded (and printed) from these links:

ESC Intrathecal prescription chart

ESC Information on pump

ESC1 intrathecal line insertion procedure

ESC2 nursing management of intrathecal lines

ESC3 troubleshooting loss of analgesia

ESC4 troubleshooting infection

ESC5 troubleshooting technical catheter problems

ESC6 troubleshooting numbness or weakness

ESC7 adding drugs to infusion lines and changing cassettes

ESC8 dressing and filter changes

ESC9 discharge procedures


Further reading

Considerably more background information on intrathecal catheters and other interventional techniques for cancer pain is given in an article written by Dr de Courcy which can be accessed via this link.















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Pain Service Website, Gloucestershire Hospitals NHS Foundation Trust
Webmaster Dr J G de Courcy, Consultant in Pain Medicine and Anaesthesia
email: pain.webmaster[at]

Page updated 19/02/2016