Acute postoperative pain management with percutaneous peripheral nerve stimulation: the SPRINT neuromodulation system. (1st February 2021)

• Record Type: Journal Article
• Authors: Gabriel, Rodney A.; Ilfeld, Brian M.
• Is Part Of: Expert review of medical devices. Volume 18:Number 2(2021)
• Page Start: 145
• Page End: 150
• Publication Date: 2021-02-01
• Subjects: Acute pain -- peripheral nerve stimulation -- postoperative pain -- regional anesthesia -- ultrasound; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1080/17434440.2021.1877134
• Languages: English
• ISSNs: 1743-4440

Abstract

ABSTRACT: Introduction: Ultrasound-guided percutaneous peripheral nerve stimulation (PNS) may be used to treat acute postoperative pain for various types of surgeries. This modality avoids several limitations of traditional local anesthetic-based peripheral nerve blocks including avoidance of motor blockade and sensory deficits. Areas covered: In this review, we discuss the use of SPRINT (SPR Therapeutics, Cleveland, OH) neuromodulation system in the setting of acute postoperative pain management. Expert opinion: PNS is a novel modality in regional anesthesia that has much promise in reducing overall opioid use after surgery. Placement of PNS is very similar to that of catheter-based regional anesthesia techniques. Ultrasound is used to guide the percutaneously placed introducer needle in proximity to the target nerve. There are several benefits of PNS over catheter-based approaches, including: 1) avoidance of motor or sensory blockade; 2) no medication bag required to be carried; and 3) electric leads may be kept in situ safely for up to 60 days. While several proof-of-concept studies have been published highlighting its use in various types of surgeries, large high-quality randomized controlled trials are still needed.