Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia

  • Juan Miguel Griego Pain and Palliative Care and Interventional Analgesia, La Asunción Clinic, Barranquilla, Colombia
  • María Patricia Gómez Anaesthesia Unit, Surgery Department, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Omar Fernando Gomezese Basic Sciences Department, Medical School, Universidad Industrial de Santander, Bucaramanga, Colombia
  • Adriana Margarita Cadavid Anaesthesia, Universidad de Antioquia, Medical School, Medellín, Colombia
  • Carlos Jaime Yepes Basic Sciences Department, Medical School, Universidad Pontificia Bolivariana, Medellín, Colombia
  • Tatiana Mayungo Pain Service, Hospital Universitario de San Vicente Fundación, Medellín, Colombia
  • Jorge Acosta-Reyes Public Health Department, Health Sciences School, Universidad del Norte, Barranquilla, Colombia
  • Héctor Julio Meléndez Basic Sciences Department, Medical School, Universidad Industrial de Santander, Bucaramanga, Colombia
  • José Julián López Pharmacy Department, School of Science, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Luis Enrique Chaparro Department of Anaesthesia, Medical School, University of Toronto, Toronto, Canada
  • Luis Fernando Cifuentes a. Pharmacology, Universidad de los Andes, Bogotá D.C., Colombia. b. Boston Scientific Colombia, Bogotá, D.C., Colombia
Keywords: Pain, Electric stimulation, Chronic pain, Angina pectoris, Anesthesia

Abstract

Introduction: Management of chronic pain by conventional means is usually insufficient, but the enhanced knowledge of the neurobiology of pain has led to the development of new treatments like spinal neurostimulation, with optimal short- and long-term results.

Objectives: To integrate and update clinical practice guidelines on the effectiveness and safety of spinal neurostimulation in the management of chronic pain.

Materials and methods: Search of practice guidelines, systematic reviews and clinical trials in the main databases (Cochrane, EMBASE, LILACS and MEDLINE), and assessment of their quality and level of evidence in order to propose recommendations for the management of chronic painful syndromes and cardiac and lower-limb ischemia.

Results: Suficient evidence was found to support the use of spinal neurostimulation for pain relief in cases of persistent pain after back surgery and also for complex regional pain syndrome. Growing evidence was found for the use of spinal neurostimulation in refractory angina pectoris and in painful ischemic lower limbs.

Conclusions: Neurostimulation is a minimally invasive technique useful for the management of persistent pain after back surgery and for complex regional pain syndrome.

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How to Cite
1.
Griego JM, Gómez MP, Gomezese OF, Cadavid AM, Jaime Yepes C, Mayungo T, et al. Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia. Colomb. J. Anesthesiol. [Internet]. 2016 Oct. 1 [cited 2024 Apr. 23];44(4):334–340. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/612

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Published
2016-10-01
How to Cite
1.
Griego JM, Gómez MP, Gomezese OF, Cadavid AM, Jaime Yepes C, Mayungo T, et al. Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia. Colomb. J. Anesthesiol. [Internet]. 2016 Oct. 1 [cited 2024 Apr. 23];44(4):334–340. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/612
Section
Clinical Practice Guides

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