50 Intrathecal Catheter Implantation
Placement
Position
Implantation of an intrathecal drug delivery system is a minor surgical procedure that is carried out in the operating room using aseptic precautions, including skin preparation, sterile draping, and full surgical attire (Fig. 50-1A). The procedure can be conducted under regional anesthesia or general anesthesia using dedicated anesthesia personnel. Performing the initial spinal catheter placement under general anesthesia is controversial, and concerns about neural injury are similar to those when performing any neuraxial technique under general anesthesia.