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神经调节在急性疼痛治疗中的作用。

Role of neuromodulation in acute pain settings.

机构信息

Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California, USA

Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

Reg Anesth Pain Med. 2023 Jun;48(6):338-342. doi: 10.1136/rapm-2022-103837.

Abstract

Peripheral nerve stimulation (PNS), a type of neuromodulatory technique, is increasingly used to treat chronic pain syndromes. PNS has also recently gained popularity as a viable adjunct analgesic modality in acute pain settings, where the practice primarily relies on using boluses or infusion of local anesthetics for nerve blockade, followed by stimulation to extend the analgesia. There is some early promise in PNS for perioperative analgesic control, but considerable obstacles must be addressed before it can be implemented into standard practice. In this daring discourse, we explore the possibilities and constraints of using the PNS paradigm in acute pain.

摘要

周围神经刺激(PNS)是一种神经调节技术,越来越多地用于治疗慢性疼痛综合征。PNS 最近也作为一种可行的急性疼痛辅助镇痛方式而受到欢迎,在这种情况下,主要通过使用局部麻醉剂的推注或输注进行神经阻滞,然后进行刺激以延长镇痛效果。PNS 在围手术期镇痛控制方面有一定的早期前景,但在将其纳入标准实践之前,还必须解决相当多的障碍。在这篇大胆的论文中,我们探讨了在急性疼痛中使用 PNS 范式的可能性和限制。

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