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Cadaveric Model Simulations for Training in Ultrasound-Guided Percutaneous Placement of a Novel Peripheral Nerve Stimulation Electrode.
Gazzeri, Roberto; Cesaroni, Alessandro; Amorizzo, Ezio; Piraccini, Emanuele; Micheli, Fabrizio; Raggi, Massimiliano; Occhigrossi, Felice.
Afiliação
  • Gazzeri R; Pain Therapy Department, San Giovanni Addolorata Hospital, Rome, Italy.
  • Cesaroni A; Pain Therapy Department, San Giovanni Addolorata Hospital, Rome, Italy.
  • Amorizzo E; Pain Unit, San Paolo Hospital, Civitavecchia, Italy.
  • Piraccini E; Pain Therapy Department, Ospedale Bellaria, Bologna, Italy.
  • Micheli F; Pain Therapy Department, Ospedale Guglielmo da Saliceto, Piacenza, Italy.
  • Raggi M; Pain Unit, Rovereto Hospital, Italy.
  • Occhigrossi F; Pain Therapy Department, San Giovanni Addolorata Hospital, Rome, Italy.
Surg Technol Int ; 38: 491-495, 2021 05 20.
Article em En | MEDLINE | ID: mdl-33999402
ABSTRACT
Peripheral nerve stimulation (PNS) electrodes are used to treat intractable painful conditions involving peripheral nerves. Methods for performing PNS continue to evolve, from open surgical to minimally invasive placement of electrodes. A PNS system consisting of subcutaneously implanted leads with an integrated anchor and electrodes, and an external pulse generator to produce peripheral neuromodulation, is now available for use in the clinical setting. This novel system allows either surgical or percutaneous lead positioning, and avoids the use of long leads or extensions crossing the joints, which are exposed to mechanical stress and damage. To identify methods for successfully inserting these electrodes, we investigated if a cadaver model could be an effective educational tool for teaching PNS electrode placement using ultrasound guidance. Six cadavers were studied in an attempt to find an ideal approach for ultrasound-guided electrode placement into the upper and lower extremities and cervical spine, and to describe the unique anatomy of the peripheral nerves relative to percutaneous stimulation-electrode placement. The use of cadaveric model simulations offers opportunities to practice percutaneous placement of PNS electrodes under stress-free conditions without patient discomfort, to acquire skill and confidence in performing these surgical approaches. Ultrasound-guided percutaneous placement of PNS electrodes should be learned in a simulation laboratory before such placement is performed in actual patients.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estimulação Elétrica Nervosa Transcutânea Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Surg Technol Int Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estimulação Elétrica Nervosa Transcutânea Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Surg Technol Int Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Itália