Ultrasound-guided peripheral nerve stimulator placement in two soldiers with acute battlefield neuropathic pain

Anesthesia and Analgesia
Michael KentChester C Buckenmaier

Abstract

Acute peripheral neuropathic pain after combat-related polytrauma is a common occurrence in the United States military that is often refractory to current drugs and regional anesthesia. Both spinal cord and peripheral nerve stimulation are successfully used for chronic neuropathic pain states, but are not reported for acute neuropathic pain. We present 2 cases of percutaneous ultrasound-guided sciatic peripheral nerve stimulation placement in soldiers who had conditions precluding them from spinal cord stimulation placement. Opioid reduction and marked increase in functionality were possible in one case, and cessation of opioid escalation, with eventual reduction after permanent implantation, was possible in the other.

References

Mar 1, 1996·Journal of Neurosurgery·S J HassenbuschE C Covington
Oct 6, 2000·Anesthesiology·F M Perkins, H Kehlet
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Aug 11, 2006·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ronald J GirondaRobyn L Walker
Jan 30, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·R J MobbsP Blum
Feb 6, 2007·Neurosurgery·Zoran Roganovic, Gordana Mandic-Gajic
Feb 6, 2007·Neurosurgery·Zoran Roganovic, Gordana Mandic-Gajic
Apr 17, 2007·Annals of Surgery·Madelon L PetersMaarten van Kleef
Jun 7, 2007·Journal of Rehabilitation Research and Development·Michael E ClarkRobyn L Walker
Jan 23, 2008·Pain Practice : the Official Journal of World Institute of Pain·Jacob J RauchwergerCarey-Walter F Closson
May 28, 2008·Archives of Physical Medicine and Rehabilitation·Ann K Ketz
Mar 20, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·G MironeM Rotondo
Sep 1, 2009·Pain·Jean Decety
Dec 22, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marc A Huntoon, Abram H Burgher
Jan 26, 2010·Journal of the Royal Army Medical Corps·S J MercerW F de Mello
Jul 2, 2010·European Journal of Pain : EJP·Michiel TruinElbert A J Joosten
Jul 16, 2010·Journal of the Peripheral Nervous System : JPNS·Palma CiaramitaroUNKNOWN Italian Network for Traumatic Neuropathies
Nov 4, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Susan CollinsRoberto S G M Perez
Mar 5, 2011·Anesthesia and Analgesia·Kamen V VlassakovIgor Kissin

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Citations

Jan 29, 2014·Current Pain and Headache Reports·Mehul J Desai, Michael J Ingraham
Mar 29, 2014·Current Pain and Headache Reports·Teodor Goroszeniuk, David Pang
Sep 23, 2014·Neurosurgery Clinics of North America·Juanmarco GutierrezNicholas M Boulis
Jan 28, 2014·The Breast : Official Journal of the European Society of Mastology·Gildasio S De OliveiraJohn Y Kim

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