Effects of Multimodal Analgesia on Recovery From Percutaneous Spinal Cord Stimulator Implantation
| Autor: | John P. McCallin, Christopher V. Maani, James K. Aden, Edward Michael Lopez, Greggory J. Martinez, Karl Alan Lautenschlager |
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| Rok vydání: | 2019 |
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business.industry Analgesic Chronic pain Retrospective cohort study General Medicine medicine.disease Spinal cord stimulator law.invention 03 medical and health sciences Regimen 0302 clinical medicine Anesthesiology and Pain Medicine Neurology law Anesthesia Ambulatory medicine Ketamine Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Neuromodulation : journal of the International Neuromodulation SocietyREFERENCES. |
| ISSN: | 1525-1403 |
| Popis: | OBJECTIVE We aimed to determine the relationship between number and type of analgesic modalities utilized and postoperative pain after percutaneous spinal cord stimulator implantation. Secondary measures include opioid requirements, discharge times, and effects of specific modalities. MATERIALS AND METHODS This single-center retrospective cohort at Brooke Army Medical Center from April 2008 through July 2017 reviewed 70 patients undergoing stimulator implantation by a pain specialist. Data included: home opioid regimen; preoperative/postoperative medications and pain; intraoperative medications; and discharge times. Analysis utilized a Wilcoxon nonparametric mode, and chi-square testing for specific modalities. We compared outcomes based on the number of modalities administered and whether patients received specific medications. RESULTS Patients averaged receiving 3.8 modalities (standard deviation 1.4). Patients receiving ≥5 modalities had increased pain from preoperative to postoperative scores by two points, while those who received ≤4 had no increase (p |
| Databáze: | OpenAIRE |
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