Journal
REGIONAL ANESTHESIA AND PAIN MEDICINE
Volume 48, Issue 6, Pages 327-336Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/rapm-2022-103660
Keywords
Pain Measurement; EDUCATION; Spinal Cord Stimulation; Pain; Postoperative
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The use of neuromodulation systems is increasing for the treatment of various pathologies. It is important for healthcare professionals to familiarize themselves with these systems and their unique perioperative considerations. This review explores the various neuromodulation systems, their general perioperative considerations, and notable special circumstances for perioperative management.
The use of neuromodulation systems is increasing for the treatment of various pathologies ranging from movement disorders to urinary incontinence to chronic pain syndromes. While the type of neuromodulation devices varies, they are largely categorized as intracranial (eg, deep brain stimulation), neuraxial (eg, spinal cord stimulation, dorsal root ganglion stimulation, and intrathecal drug delivery systems), or peripheral (eg, sacral nerve stimulation and peripheral nerve stimulation) systems. Given the increasing prevalence of these systems in the overall population, it is important for anesthesiologists, surgeons, and the perioperative healthcare team to familiarize themselves with these systems and their unique perioperative considerations. In this review, we explore and highlight the various neuromodulation systems, their general perioperative considerations, and notable special circumstances for perioperative management.
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