TY - JOUR
T1 - Ultrasound-guided peripheral nerve stimulator placement in two soldiers with acute battlefield neuropathic pain
AU - Kent, Michael
AU - Upp, Justin
AU - Spevak, Christopher
AU - Shannon, Clarence
AU - Buckenmaier, Chester
PY - 2012/4
Y1 - 2012/4
N2 - 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.
AB - 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.
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U2 - 10.1213/ANE.0b013e318247f6b2
DO - 10.1213/ANE.0b013e318247f6b2
M3 - Article
C2 - 22344240
AN - SCOPUS:84859094857
SN - 0003-2999
VL - 114
SP - 875
EP - 878
JO - Anesthesia and analgesia
JF - Anesthesia and analgesia
IS - 4
ER -