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
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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