The Appropriate Use of Neurostimulation: Avoidance and Treatment of Complications of Neurostimulation Therapies for the Treatment of Chronic Pain

被引：129

作者：

Deer, Timothy R. ^{[1
]}

Mekhail, Nagy ^{[2
]}

Provenzano, David ^{[3
]}

Pope, Jason ^{[1
]}

Krames, Elliot ^{[4
]}

Thomson, Simon ^{[5
]}

Raso, Lou ^{[6
]}

Burton, Allen ^{[7
]}

DeAndres, Jose ^{[8
]}

Buchser, Eric ^{[9
,10
]}

Buvanendran, Asokumar ^{[11
]}

Liem, Liong ^{[12
]}

Kumar, Krishna ^{[13
]}

Rizvi, Syed ^{[13
]}

Feler, Claudio ^{[14
,15
]}

Abejon, David ^{[16
]}

Anderson, Jack ^{[17
]}

Eldabe, Sam ^{[18
]}

Kim, Philip ^{[19
,20
]}

Leong, Michael ^{[21
]}

Hayek, Salim ^{[22
]}

McDowell, Gladstone, II ^{[23
]}

Poree, Lawrence ^{[24
,25
]}

Brooks, Elizabeth S. ^{[25
]}

McJunkin, Tory ^{[26
]}

Lynch, Paul ^{[26
]}

Kapural, Leo ^{[27
]}

Foreman, Robert D. ^{[28
]}

Caraway, David ^{[29
]}

Alo, Ken ^{[30
,31
]}

Narouze, Samer ^{[32
]}

Levy, Robert M. ^{[33
]}

North, Richard ^{[34
,35
]}

机构：

[1] Ctr Pain Relief, Charleston, WV 25301 USA

[2] Cleveland Clin, Cleveland, OH 44106 USA

[3] Ohio Valley Gen Hosp, Inst Pain Diagnost & Care, Pittsburgh, PA USA

[4] Pacific Pain Treatment Ctr, San Francisco, CA USA

[5] NHS Fdn Trust, Basildon & Thurrock Univ Hosp, Basildon, Essex, England

[6] Jupiter Intervent Pain Management Corp, Jupiter, FL USA

[7] Houston Pain Associates, Houston, TX USA

[8] Univ Valencia, Dept Anesthesiol Crit Care & Pain Management, Gen Univ Hosp, Sch Med, Valencia, Spain

[9] EHC Hosp, Anaesthesia & Pain Management Dept, Morges, Switzerland

[10] CHUV Univ Hosp, Lausanne, Switzerland

[11] Rush Univ, Dept Anesthesia, Med Ctr, Chicago, IL 60612 USA

[12] St Antonius Hosp, Nieuwegein, Netherlands

[13] Univ Saskatchewan, Regina Gen Hosp, Regina, SK, Canada

[14] Univ Tennessee, Memphis, TN USA

[15] Valley View Hosp, Glenwood Springs, CO USA

[16] Hosp Univ Quiron Madrid, Madrid, Spain

[17] Arizona Pain Specialists, Scottsdale, AZ USA

[18] James Cook Univ Hosp, Middlesbrough, Cleveland, England

[19] Christiana Hosp, Newark, DE USA

[20] Bryn Mawr Hosp, Bryn Mawr, PA USA

[21] Stanford Univ, Palo Alto, CA 94304 USA

[22] Case Western Reserve Univ, Dept Anesthesiol, Univ Hosp Case Med Ctr, Div Pain Med, Cleveland, OH 44106 USA

[23] Integrated Pain Solut, Columbus, OH USA

[24] Univ Calif San Francisco, San Francisco, CA 94143 USA

[25] Pain Clin Monterey Bay, Aptos, CA USA

[26] Arizona Pain Clin, Scottsdale, AZ USA

[27] Wake Forest Baptist Hlth, Carolinas Pain Inst Brookstown, Winston Salem, NC USA

[28] Univ Oklahoma, Hlth Sci Ctr, Coll Med, Oklahoma City, OK 73190 USA

[29] Tristate LLC, Ctr Pain Relief, Huntington, WV USA

[30] Methodist Hosp Res Inst, Houston, TX USA

[31] Monterey Tech Inst, Monterrey, Mexico

[32] Summa Western Reserve Hosp, Ctr Pain Med, Cuyahoga Falls, OH USA

[33] Univ Florida, Coll Med, Jacksonville, FL USA

[34] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[35] Neuromodulat Fdn Inc, Baltimore, MD USA

来源：

NEUROMODULATION | 2014年 / 17卷 / 06期

关键词：

Chronic pain; complications; guidance; neurostimulation; peripheral nerve stimulation; risk reduction; spinal cord stimulation; SPINAL-CORD STIMULATION; OCCIPITAL NERVE-STIMULATION; EPIDURAL STEROID INJECTION; BACK SURGERY SYNDROME; CONVENTIONAL MEDICAL-MANAGEMENT; DORSAL COLUMN STIMULATION; SURGICAL SITE INFECTION; ANTIBIOTIC-PROPHYLAXIS; COST-EFFECTIVENESS; CONTROLLED-TRIAL;

D O I：

10.1111/ner.12206

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Introduction: The International Neuromodulation Society (INS) has determined that there is a need for guidance regarding safety and risk reduction for implantable neurostimulation devices. The INS convened an international committee of experts in the field to explore the evidence and clinical experience regarding safety, risks, and steps to risk reduction to improve outcomes. Methods: The Neuromodulation Appropriateness Consensus Committee (NACC) reviewed the world literature in English by searching MEDLINE, PubMed, and Google Scholar to evaluate the evidence for ways to reduce risks of neurostimulation therapies. This evidence, obtained from the relevant literature, and clinical experience obtained from the convened consensus panel were used to make final recommendations on improving safety and reducing risks. Results: The NACC determined that the ability to reduce risk associated with the use of neurostimulation devices is a valuable goal and possible with best practice. The NACC has recommended several practice modifications that will lead to improved care. The NACC also sets out the minimum training standards necessary to become an implanting physician. Conclusions: The NACC has identified the possibility of improving patient care and safety through practice modification. We recommend that all implanting physicians review this guidance and consider adapting their practice accordingly.

引用

页码：571 / 597

页数：27

共 190 条

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