RESUMEN
OBJECTIVE: To present a history of the development of peripheral nerve stimulation. METHODS: Narrative literature review. RESULTS: Peripheral nerve stimulation has a history stretching from Scribonius Largus and eels in Mesopotamia to Michael Farady's discovery in London, the German-English physician Julius Althaus's application of electricity to a peripheral nerve, the sensational "Electreat" in the United States, to the application by Wall and Sweet of the gate theory proposed by Melzack and Wall to specialized neurosurgeons. CONCLUSIONS: This is now a modern field in clinical neuroscience and medicine with improved technology, renewed interest by a diverse range of specialties, and accessibility with ultrasound.
Asunto(s)
Terapia por Estimulación Eléctrica , Estimulación Eléctrica Transcutánea del Nervio , Humanos , Nervios Periféricos , SensaciónAsunto(s)
Analgésicos/provisión & distribución , Anestesiólogos/psicología , Actitud del Personal de Salud , Comunicación , Toma de Decisiones Conjunta , Conocimientos, Actitudes y Práctica en Salud , Dolor Postoperatorio/prevención & control , Participación del Paciente , Relaciones Médico-Paciente , Anestesiólogos/ética , Humanos , Consentimiento Informado , Manejo del Dolor , Seguridad del Paciente , Relaciones Médico-Paciente/éticaRESUMEN
Pachyonychia congenita (PC) is a rare, inherited disorder of keratin filaments characterized by palmoplantar hyperkeratosis, keratoderma, and extreme pain. Management is largely symptomatic and typically involves multimodal pain control strategies. Here, we report the treatment of one 21-year-old man's refractory neuropathic PC pain with a 4-day inpatient ketamine infusion. Within 1 night of beginning treatment, his pain diminished to a 0/10 without any adverse effects, with effects lasting 2 weeks. No reported PC pain regimens have made use of intravenous ketamine; thus, we suggest recurrent ketamine infusions as an additional option in the multimodal pain regimen for patients with PC.
