In the short term, a percutaneous intrathecal catheter may be placed very similarly to an epidural. These are usually done under fluoroscopy with the patient in the lateral decubitus position. Many of these patients will not tolerate prone positioning due to both pain and deconditioning. The catheters are threaded up the intrathecal space to mid thoracic levels. They are usually tunneled from the access point laterally to facilitate dressing application and maintenance and also to reduce infection risk. Patients can be discharged home with indwelling catheters and home nursing maintenance or hospice to maintain the infusion and external pump.
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