Anesthesiology, University of Pittsburgh Medical Center, Williamsport, Pennsylvania, USA
Pain Medicine, MVM Health, East Stroudsburg, Pennsylvania, USA.
Reg Anesth Pain Med. 2023 Jun;48(6):327-336. doi: 10.1136/rapm-2022-103660.
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.
神经调节系统的使用正在增加，用于治疗各种疾病，从运动障碍到尿失禁到慢性疼痛综合征。虽然神经调节设备的类型不同，但它们主要分为颅内（例如，深部脑刺激）、神经轴（例如，脊髓刺激、脊神经根刺激和鞘内药物输送系统）或外周（例如，骶神经刺激和周围神经刺激）系统。鉴于这些系统在总人口中的患病率不断增加，麻醉师、外科医生和围手术期医疗团队熟悉这些系统及其独特的围手术期注意事项非常重要。在这篇综述中，我们探讨并强调了各种神经调节系统、它们的一般围手术期注意事项以及围手术期管理的特殊情况。
