Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Curr Pain Headache Rep. 2023 Oct;27(10):601-605. doi: 10.1007/s11916-023-01159-6. Epub 2023 Aug 9.
Though peripheral nerve stimulation has long been utilized in the field of chronic pain management, its use in acute pain management in the postoperative period is relatively novel and warrants further consideration.
In the postsurgical period, peripheral nerve stimulation may offer an additional low-risk, opioid-sparing analgesic option, which is particularly pertinent in the setting of the ongoing opioid epidemic, as inadequate postsurgical analgesia has been shown to increase the risk of developing persistent or chronic postsurgical pain. In this review, we discuss the current literature that illustrate the emerging role of peripheral nerve stimulation as an effective treatment modality in the postoperative period for the management of acute pain, as various studies have recently been conducted evaluating the feasibility of utilizing percutaneous peripheral nerve stimulation as an adjunct in postsurgical analgesia. Nonetheless, future studies are necessary to continue to elucidate the short- and long-term impacts of peripheral nerve stimulation use in acute postsurgical analgesia.
尽管周围神经刺激在慢性疼痛管理领域已经应用了很长时间,但它在术后急性疼痛管理中的应用相对较新,值得进一步考虑。
在术后期间,周围神经刺激可能提供一种额外的低风险、减少阿片类药物使用的镇痛选择,这在阿片类药物流行的背景下尤为重要,因为研究表明,术后镇痛不足会增加发展为持续性或慢性术后疼痛的风险。在这篇综述中,我们讨论了目前的文献,这些文献说明了周围神经刺激作为一种有效的治疗方法,在术后急性疼痛管理中的新兴作用,因为最近已经进行了各种研究来评估经皮周围神经刺激作为术后镇痛辅助手段的可行性。然而,仍需要进一步的研究来阐明周围神经刺激在急性术后镇痛中的短期和长期影响。