Hoffmann Chelsey M, D'Souza Ryan S, Hagedorn Jonathan M
Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Department of Pain Medicine, iSpine Pain Physicians, Maple Grove, MN, USA.
J Pain Res. 2022 Aug 7;15:2283-2291. doi: 10.2147/JPR.S370037. eCollection 2022.
To describe the team approach of an interventional pain management practice, with particular emphasis on advanced practice providers (APPs), in the selection, education, care, and management of peripheral nerve stimulation (PNS) patients.
We devised an APP guide to PNS based on an in-depth search of multiple databases for studies on neuromodulation, pain management, and APPs.
Of 65 articles captured in the search strategy, three articles were pertinent to the topic of APP involvement in neuromodulation. More specifically, only one of the three publications on neuromodulation discussed APP involvement in PNS. This single publication was from 1995 and focused on electrical stimulation of the trigeminal ganglion using a permanent percutaneously placed electrode.
PNS is growing in clinical indication and use for both acute and chronic pain conditions. With the increasing need for APPs in both general and specialty medicine, it is imperative that APPs are well educated on PNS. Here, we have outlined ways in which APPs can optimize the care of PNS patients and how the skillset of the APP in a PNS practice can potentially improve patient outcomes.
描述介入性疼痛管理实践中的团队方法，特别强调高级执业提供者（APPs）在周围神经刺激（PNS）患者的选择、教育、护理和管理方面的作用。
我们通过深入检索多个数据库，查找有关神经调节、疼痛管理和APPs的研究，设计了一份PNS的APP指南。
在检索策略中获取的65篇文章中，有3篇文章与APP参与神经调节的主题相关。更具体地说，关于神经调节的3篇出版物中只有1篇讨论了APP参与PNS的情况。这篇单一的出版物来自1995年，重点是使用经皮永久放置电极对三叉神经节进行电刺激。
PNS在急性和慢性疼痛病症的临床适应症和应用方面都在不断增加。随着普通医学和专科医学对APPs的需求日益增加，对APPs进行PNS方面的良好教育势在必行。在此，我们概述了APPs优化PNS患者护理的方法，以及PNS实践中APP的技能组合如何潜在地改善患者预后。
