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

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.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Kent M,Upp J,Spevak C,Shannon C,Buckenmaier C 3rd

doi

10.1213/ANE.0b013e318247f6b2

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

875-8

issue

4

eissn

0003-2999

issn

1526-7598

pii

ANE.0b013e318247f6b2

journal_volume

114

pub_type

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