Neurostimulation: Stimulation of the Cranium and Head: Stimulation of the Deep Brain for the Treatment of Chronic Pain

Oct 16, 2016 by in PAIN MEDICINE Comments Off on Neurostimulation: Stimulation of the Cranium and Head: Stimulation of the Deep Brain for the Treatment of Chronic Pain

Fig. 32.1 Frame-based stereotactic guidance for deep brain lead placement (left). Frameless stereotactic guidance for deep brain lead placement (right) Stereotactic localization of bilateral entry points is performed and these…

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History of Intrathecal Drug Delivery

Oct 16, 2016 by in PAIN MEDICINE Comments Off on History of Intrathecal Drug Delivery

Year Milestone 1885 Leonard Corning administers neuraxial local anesthetic 1901 Intraspinal morphine use is first reported 1935 Dr. Grafton Love first proposes continuous catheter access 1940 The first practical application…

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The Future of Neurostimulation

Oct 16, 2016 by in PAIN MEDICINE Comments Off on The Future of Neurostimulation

Advancement Current use Future impact Rechargeable IPG Yes Large Enhanced battery life No Important for smaller IPG Different targets Yes Important for DRG-SCS Increased frequency Yes Makes miniaturization difficult Bluetooth…

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Wound Healing

Oct 16, 2016 by in PAIN MEDICINE Comments Off on Wound Healing

Patient factor Adverse impact on healing Age Extremes of aged and youth Weight Extremes of obesity and cachexia Nutrition Negative protein balance Blood supply Ischemia and edema Immune function Immunosuppression…

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Perioperative Precautions for Infection Control

Oct 16, 2016 by in PAIN MEDICINE Comments Off on Perioperative Precautions for Infection Control

Preoperative  Identification of patient risk factors  Optimizing immune and nutritional status  Optimizing medical comorbidities such as diabetes, immunosuppression, and dental disease  Preoperative screening and decolonization for Staphylococcus aureus carriers  Appropriate…

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