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Daring discourse
Role of neuromodulation in acute pain settings
  1. Ban C H Tsui1 and
  2. Rajnish K Gupta2
  1. 1 Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California, USA
  2. 2 Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to Dr Ban C H Tsui, Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA 94305, USA; bantsui{at}stanford.edu

Abstract

Peripheral nerve stimulation (PNS), a type of neuromodulatory technique, is increasingly used to treat chronic pain syndromes. PNS has also recently gained popularity as a viable adjunct analgesic modality in acute pain settings, where the practice primarily relies on using boluses or infusion of local anesthetics for nerve blockade, followed by stimulation to extend the analgesia. There is some early promise in PNS for perioperative analgesic control, but considerable obstacles must be addressed before it can be implemented into standard practice. In this daring discourse, we explore the possibilities and constraints of using the PNS paradigm in acute pain.

  • Anesthesia, Local
  • Pain Management
  • Acute Pain

https://doi.org/10.1136/rapm-2022-103837

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    Footnotes

    • Twitter @dr_rajgupta

    • Contributors BCHT: This author conceived, contributed, revised, approved, and is accountable for the final manuscript. RKG: This author conceived, contributed, revised, approved, and is accountable for the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests BCHT is an editor for the journal Regional Anesthesia and Pain Medicine and contributed to designing a commercially available stimulating peripheral nerve catheter. RKG is a member of the American Society of Regional Anesthesia and Pain Medicine Board of Directors and is an associate editor for the journal Regional Anesthesia and Pain Medicine.

    • Provenance and peer review Not commissioned; externally peer reviewed.