Percutaneous Peripheral Nerve Stimulation to Control Postoperative Pain, Decrease Opioid Use, and Accelerate Functional Recovery Following Orthopedic Trauma

Autor: Ian M. Fowler, Scott T. Ball, Steven P. Cohen, Amorn Wongsarnpigoon, Steven R. Hanling, Joseph W. Boggs, Brian M. Ilfeld
Rok vydání: 2019
Předmět:
Percutaneous
medicine.medical_treatment
Replacement
Peripheral nerve stimulation
0302 clinical medicine
Postsurgical pain
Arthroplasty
Replacement
Knee
non-opioid
Pain Measurement
Analgesics
Pain
Postoperative
030222 orthopedics
Rehabilitation
Pain Research
General Medicine
Analgesics
Opioid
Orthopedic trauma
Anesthesia
Public Health and Health Services
Supplement Article
Chronic Pain
neurostimulation
medicine.drug
Physical Injury - Accidents and Adverse Effects
Postoperative pain
Pain
Electric Stimulation Therapy
Opioid
total joint replacement
Arthroplasty
03 medical and health sciences
Clinical Research
medicine
Humans
Pain Management
Knee
Postoperative
Strategic
Neurostimulation
business.industry
Opioid use
Neurosciences
Public Health
Environmental and Occupational Health
Human Movement and Sports Sciences
Recovery of Function
Functional recovery
Defence & Security Studies
business
030217 neurology & neurosurgery
Zdroj: Military medicine, vol 184, iss Suppl 1
ISSN: 1930-613X
0026-4075
Popis: Orthopedic trauma is a significant military problem, causing several of the most disabling conditions with high rates of separation from duty and erosion of military readiness. The objective of this report is to summarize the findings of case series of a non-opioid therapy—percutaneous peripheral nerve stimulation (PNS) – and describe its potential for postoperative analgesia, early opioid cessation, and improved function following orthopedic trauma. Percutaneous PNS has been evaluated for the treatment of multiple types of pain, including two case series on postoperative pain following total knee replacement (n = 10 and 8, respectively) and a case series on postamputation pain (n = 9). The orthopedic trauma induced during TKR is highly representative of multiple types of orthopedic trauma sustained by Service members and frequently produces intense, prolonged postoperative pain and extended opioid use following surgery. Collectively, the results of these three clinical studies demonstrated that percutaneous PNS can provide substantial pain relief, reduce opioid use, and improve function. These outcomes suggest that there is substantial potential for the use of percutaneous PNS following orthopedic trauma.
Databáze: OpenAIRE
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