Upload
rufina
View
74
Download
0
Tags:
Embed Size (px)
DESCRIPTION
St. Chiara University Hospital PISA – ITALY. The Pain Medicine Department Multidisciplinary Staff. UNIT HEAD : Prof. Paolo Poli - anesthesiologist Dott.ssa Lara Tollapi- anesthesiologist Dott.ssa Franca Bondi - reumatologist Dott. Walter Forli - neurosurgery - PowerPoint PPT Presentation
Citation preview
St. Chiara University HospitalPISA – ITALY
UNIT HEAD :•Prof. Paolo Poli - anesthesiologist
•Dott.ssa Lara Tollapi- anesthesiologist•Dott.ssa Franca Bondi - reumatologist•Dott. Walter Forli - neurosurgery•Dott.ssa Mery Paroli - psychologist•Dott.ssa Antonella Ciaramella - psychiatric
NURSE STAFF:•Antonella Scocca - Nurse coordinator •Sabrina Inghirami - CS Nurse•Tatiana De Lucia - CS Nurse •Paola Lencioni - CS Nurse•Maida Natucci - Nurse Support•Maria Sadowska - Nurse Support
•Maria Coppola - Secretary•Giuliana Rossano - Counselor
The Pain Medicine Department Multidisciplinary Staff
Background 1 of 2
Atkinson et al.,2011; Kemler et al., 2000; Kumar et al., 2007; North et al., 2005; Simpson et al., 2009; Peng et al., 2007; Van Buyten et al., 2006
Spinal cord stimulation (SCS) is an efficacious therapy for chronic neuropathic pain even though pharmacological relief is insufficient.
Background 2 of 2 Three brands of SCS stimulators …
Constant current with multiple power sources
Constant current with single power source
Constant voltage with a single power source
Different brands of SCS for ... different technologies
Aim of the study Compare the effectiveness
in pain relief of three
different types of stimulation
in patients with diagnosis of chronic
neuropathic pain during two years follow-up
after the implant of SCS.
Multidisciplinary Screening Internal
Medicine
Psychological
Psychiatric
Anaesthesiologic
Sample 1/2
168 patients with neuropathic pain
• FBSS: Failed Back Surgery Syndrome
• LB: Low Back• Miscellanea:
• Phantom Pain• Ischemic Pain• Post Herpetic Pain• Complex Pain Regional
Syndrome• Arthritis• Genital Anal Pain
MISCELLANEA39
Sample 2/2
Observational study
Study design 1/2
3 dimensions of pain:• Sensory• Affective• Evaluative
VAS
0No
pain
10Worst
possible pain
Study design 2/2
T0 T1 T2 T3 T4 T5
Beforeimplant
3mths
6mths
12mths
IPQ
VAS
0 10
18mths
24mths
Results 1/2Repeated Measures ANOVA - VAS
F = 57.87p <.0001
T0
3 m
ths
6 m
ths
12 m
ths
18 m
ths
24 m
ths T0
3 m
ths
6 m
ths
12 m
ths
18 m
ths
24 m
ths T0
3 m
ths
6 m
ths
12 m
ths
18 m
ths
24 m
ths
Sensorial Affective Evaluative
0
0.1
0.2
0.3
0.4
0.5
0.6
MedtronicStJudeBSC
Results 2/2
p = n.s.
Repeated Measures ANOVA - IPQ dimensions
ConclusionsThe present study proved SCS in itself to be effective in the treatment of chronic neuropathic pain, although no significant differences were shown among the three systems.
Thanks to Arpa foundation that help us in research