title: Ultrasound-guided peripheral nerve stimulator placement in two soldiers with acute battlefield neuropathic pain.
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.
authors.affiliation: Department of Anesthesiology, Walter Reed Army Medical Center, 11300 Rockville Pike, Suite 709, Rockville, MD 20852, USA. michael.kent@med.navy.mil
authors.forename: Michael
authors.initials: M
authors.lastname: Kent
authors.forename: Justin
authors.initials: J
authors.lastname: Upp
authors.forename: Christopher
authors.initials: C
authors.lastname: Spevak
authors.forename: Clarence
authors.initials: C
authors.lastname: Shannon
authors.forename: Chester
authors.initials: C
authors.lastname: Buckenmaier
mesh_terms: D059787:Acute Pain / Q000628:therapy*; D000328:Adult; D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D009437:Neuralgia / Q000628:therapy*; D010525:Peripheral Nerves / Q000000981:diagnostic imaging*; D010523:Peripheral Nervous System Diseases / Q000628:therapy*; D018084:Ultrasonography, Interventional; D014857:Warfare