Neurostimulation for Postsurgical Analgesia: A Novel System Enabling Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation
| Autor: | Joseph W. Boggs, Brian M. Ilfeld, John Chae, Richard D. Wilson, Christopher A. Gilmore, Stuart A. Grant, Amorn Wongsarnpigoon |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Nervous system Percutaneous medicine.medical_treatment Replacement Medical Physiology Peripheral nerve stimulation 0302 clinical medicine Anesthesiology 030202 anesthesiology small-diameter open-coiled helical lead Arthroplasty Replacement Knee Lead (electronics) Ultrasonography Pain Measurement Pain Postoperative Interventional Chronic pain Middle Aged Neuromodulation (medicine) 3. Good health medicine.anatomical_structure Anesthesia neuromodulation Transcutaneous Electric Nerve Stimulation Original Article Female Sciatic nerve peripheral nerve stimulator postoperative pain Adult medicine.medical_specialty Clinical Sciences percutaneous peripheral nerve stimulation Pain Proof of Concept Study Arthroplasty 03 medical and health sciences medicine Humans Pain Management Knee Postoperative Neurostimulation Ultrasonography Interventional business.industry helical lead Neurosciences Original Articles medicine.disease Surgery Anesthesiology and Pain Medicine small‐diameter open‐coiled helical lead Analgesia business 030217 neurology & neurosurgery |
| Zdroj: | Ilfeld, BM; Grant, SA; Gilmore, CA; Chae, J; Wilson, RD; Wongsarnpigoon, A; et al.(2017). Neurostimulation for Postsurgical Analgesia: A Novel System Enabling Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation. PAIN PRACTICE, 17(7), 892-901. doi: 10.1111/papr.12539. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/25p7288p Pain practice : the official journal of World Institute of Pain, vol 17, iss 7 Pain Practice |
| DOI: | 10.1111/papr.12539. |
| Popis: | While neurostimulation—stimulation of the nervous system using electrical current—has been used to treat chronic pain, its use treating postsurgical pain has been limited. Here, we report on the clinical application of a novel investigational lead to provide analgesia following total knee arthroplasty. In 5 subjects, leads were inserted percutaneously using ultrasound guidance within 0.5 to 3.0 cm of the femoral and/or sciatic nerve(s). With the delivery of current, pain decreased an average of 63% at rest, with 4 of 5 subjects having relief of > 50%. During passive and active knee flexion, pain decreased an average of 14% and 50%, with 0/3 and 1/2 subjects attaining > 50% relief, respectively. Ultrasound‐guided percutaneous peripheral nerve stimulation may be a practical modality for the treatment of postsurgical pain. |
| Databáze: | OpenAIRE |
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