Survey on sedation-analgesia regimens, in particular the use of dexmedetomidine, among Dutch implanters of spinal cord neurostimulators.

Scandinavian Journal of Pain
Feline F J A Ter BruggenFrank J P M Huygen

Abstract

During implantation of most spinal cord neurostimulators, patients need to be cooperative to give feedback during lead placement, and also be comfortable. Sedation and analgesia can support these conditions. This survey aimed to provide an overview of the sedation-analgesia regimens currently used among Dutch pain specialists. The survey focused on the sedative agent "dexmedetomidine" due to its attractive pharmacological profile and its promising results during awake procedures. A 27-item survey was sent to the 65 pain specialists involved in neurostimulation in the Netherlands. The survey consisted of questions related to different aspects of sedation and analgesia during neurostimulation, e.g. the current regimen, the opinion on and experience with dexmedetomidine as a sedative agent, and preferences regarding different aspects of sedation (i.e. production of arousable sedation, pain management, quality of patient's feedback and overall preference). Of 65 pain specialists, 45 (69%) completed the survey. Most commonly used sedative was propofol (91%) and most common used analgesic was remifentanil (78%). Of the 45 respondents, 21 (47%) considered the use of dexmedetomidine, whereas 13 (29%) had experience with dexmedetomidine...Continue Reading

References

Sep 12, 2008·Current Opinion in Anaesthesiology·Irene Rozet
Feb 26, 2016·Pain Practice : the Official Journal of World Institute of Pain·Feline F J A Ter BruggenFrank J P M Huygen
Apr 4, 2016·Current Pain and Headache Reports·Donna-Ann ThomasNalini Vadivelu
Apr 4, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Alexander TaghvaPaul Underwood
Apr 22, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Thomas SimopoulosJatinder S Gill

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