经皮耳神经刺激(神经调节)用于膝关节和髋关节置换术后的镇痛和阿片类药物保留:一个概念验证案例系列。

IF 0.5 A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001621

John J Finneran, Engy T Said, Scott T Ball, Krishna R Cidambi, Baharin Abdullah, Brian M Ilfeld

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摘要

我们提出了一个案例系列来证明在标签外使用耳廓神经调节装置(最初是为了治疗阿片类药物戒断相关症状而开发的)来代替在膝关节和髋关节置换术后提供镇痛和节省阿片类药物。在恢复室内，对5例患者应用耳穴神经调节装置(Masimo近场刺激系统2 [NSS-2] Bridge)。在0到10的数值评定量表中，静止和运动时的平均每日疼痛中位数为0到2，而每日羟考酮的中位数用量为0到2.5 mg，直到术后第5天在家取出装置。一名患者完全避免使用阿片类药物。

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Percutaneous Auricular Nerve Stimulation (Neuromodulation) for Analgesia and Opioid-Sparing Following Knee and Hip Arthroplasty: A Proof-of-Concept Case Series.

We present a case series to demonstrate proof-of-concept for the off-label use of an auricular neuromodulation device-originally developed to treat symptoms associated with opioid withdrawal-to instead provide analgesia and opioid-sparing following knee and hip arthroplasties. Within the recovery room, an auricular neuromodulation device (near-field stimulator system 2 [NSS-2] Bridge, Masimo) was applied to 5 patients. Average daily pain at rest and while moving was a median of 0 to 2 as measured on the 0 to 10 numeric rating scale, while median daily oxycodone use was 0 to 2.5 mg until device removal at home on postoperative day 5. One patient avoided opioid use entirely.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.