Peripheral nerve stimulation for the management of acute and subacute post-amputation pain: a randomized, controlled feasibility trial
| Autor: | Denise D Lester, Nathan D Crosby, Michael Amendola, Brooke Albright-Trainer, Peter Disalvo, Thomas Phan, Robert J Trainer, Douglas P Murphy |
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| Rok vydání: | 2022 |
| Předmět: |
Pain
Postoperative Percutaneous Opioid consumption business.industry medicine.medical_treatment Peripheral nerve stimulation Pilot Projects General Medicine Phantom limb pain Amputation Surgical Neuromodulation (medicine) Phantom Limb Analgesic therapy Amputation Anesthesia medicine Feasibility Studies Humans Peripheral Nerves business Residual limb Pain Measurement |
| Zdroj: | Pain Management. 12:357-369 |
| ISSN: | 1758-1877 1758-1869 |
| Popis: | Introduction & aim: Temporary (60-day) percutaneous peripheral nerve stimulation (PNS) has demonstrated effectiveness for the treatment of chronic post-amputation pain, and this pilot study aims to evaluate the feasibility of temporary percutaneous PNS for the treatment of acute post-amputation pain. Patients & methods: Sixteen veterans undergoing lower extremity amputation received PNS and standard medical therapy or standard medical therapy alone. Results: The PNS group reported greater reductions in average phantom limb pain, residual limb pain and daily opioid consumption, and there were fewer participants taking opioids through 3 months post-amputation. Conclusion: This pilot study suggests that PNS is feasible in the acute postoperative period following lower limb amputation and may provide a non-pharmacologic analgesic therapy that lowers pain scores and reduces opioid consumption, and thus warrants further investigation. |
| Databáze: | OpenAIRE |
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