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Perioperative and anesthetic considerations for the management of neuromodulation systems. Regional anesthesia and pain medicine Orhurhu, V., Hussain, N., Karri, J., Mariano, E. R., Abd-Elsayed, A. 2023; 48 (6): 327-336

Abstract

The use of neuromodulation systems is increasing for the treatment of various pathologies ranging from movement disorders to urinary incontinence to chronic pain syndromes. While the type of neuromodulation devices varies, they are largely categorized as intracranial (eg, deep brain stimulation), neuraxial (eg, spinal cord stimulation, dorsal root ganglion stimulation, and intrathecal drug delivery systems), or peripheral (eg, sacral nerve stimulation and peripheral nerve stimulation) systems. Given the increasing prevalence of these systems in the overall population, it is important for anesthesiologists, surgeons, and the perioperative healthcare team to familiarize themselves with these systems and their unique perioperative considerations. In this review, we explore and highlight the various neuromodulation systems, their general perioperative considerations, and notable special circumstances for perioperative management.

View details for DOI 10.1136/rapm-2022-103660

View details for PubMedID 37080581