Ultrasound-guided peripheral nerve stimulator placement in two soldiers with acute battlefield neuropathic pain

Michael Kent, Justin Upp, Christopher Spevak, Clarence Shannon, Chester Buckenmaier

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Acute peripheral neuropathic pain after combat-related polytrauma is a common occurrence in the United States military that is often refractory to current drugs and regional anesthesia. Both spinal cord and peripheral nerve stimulation are successfully used for chronic neuropathic pain states, but are not reported for acute neuropathic pain. We present 2 cases of percutaneous ultrasound-guided sciatic peripheral nerve stimulation placement in soldiers who had conditions precluding them from spinal cord stimulation placement. Opioid reduction and marked increase in functionality were possible in one case, and cessation of opioid escalation, with eventual reduction after permanent implantation, was possible in the other.

Original languageEnglish (US)
Pages (from-to)875-878
Number of pages4
JournalAnesthesia and analgesia
Volume114
Issue number4
DOIs
StatePublished - Apr 1 2012

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