Spinal cord stimulation : percutaneous implantation techniques / Paul G. Kreis, Scott M. Fishman.

Format:

Book

Author/Creator:

Kreis, Paul G.

Contributor:

Fishman, Scott, 1959-

Language:

English

Subjects (All):

Transcutaneous electrical nerve stimulation.

Spinal cord.

Implants, Artificial.

Physical Description:

1 online resource (166 p.)

Place of Publication:

Oxford ; New York : Oxford University Press, 2009.

Summary:

Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electric pulse near the spinal cord's dorsal surface, providing a parasthesia sensation that alters the perception of pain by the patient, and is typically used in conjunction with conventional medical management. Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electr

Contents:

Contents; Chapter 1: The Development of Spinal Cord Stimulation; Introduction; History; The Gate Theory of Pain Reduction; Mechanism of Action; Equipment Overview; Current Status; Favorable Patient Characteristics; Efficacy; Cost-effectiveness; Warnings; References; Further Reading; Chapter 2: SCS Screening Trial: Patient Selection and Preparation; Introduction; Patient Selection; Indications for Spinal Cord Stimulation; FDA-Approved Indications; Off -label Applications; Unsuccessful Applications; Contraindications; Anatomic Considerations; Medical Considerations

Establishing Medical NecessityPsychosocial Considerations; Psychological Contraindications and Testing; Patient Education; Psychological Preparation; Procedural Information; Informed Consent; References; Further Reading; Appendix A: Sample Letter of Medical Necessity for Spinal Cord Stimulation; Appendix B: Frequently Asked Questions About Spinal Cord Stimulation; Appendix C: Checklist of Patient Education Topics; Chapter 3: Radiation Safety; Introduction; Background; Terminology; Radiation; Image Quality; Distortion Errors; Biologic Effects of Radiation; Reducing Exposure to Radiation

Minimizing Effects on the Torso and LegsMinimizing Effects on the Thyroid; Minimizing Effects on the Hands; Minimizing Effects on the Eyes; Fluoroscopy for Spinal Cord Stimulation; Patient-Informed Consent for Radiation Exposure; Acknowledgments; References; Chapter 4: Sterile Technique; Introduction; The Importance of Sterile Technique in Infection Control ; The Development of Sterile Technique; Surgical Site Infections; Risk Factors for Surgical Site Infection; Principles of Aseptic and Sterile Technique; Terms and Concepts; Cleaning and Antiseptic Agents; Ventilation and Filtering

Other PrinciplesPreoperative Preparation: Home Preparation; Prophylactic Antibiotics; Operative Preparation: Scrubbing and Draping; Physician Preparation: Hand Scrubbing, Gowning, and Gloving; References; Chapter 5: Electricity and Spinal Cord Stimulation; Introduction; SCS Leads ; Percutaneous Leads; Surgical (Paddle) Leads; Ohm's Law (V = IR); Perception Threshold; Fibrosis; Epidural Space; CSF Layer; Time Since Implant; Other Factors ; Anodes and Cathodes; Dorsal Column Anatomy; Frequency, Amplitude, and Pulse Width; Amplitude (Current/Voltage); Pulse Width (Microseconds)

Frequency (Hertz)Single Versus Dual Leads; Contact Combinations; Monopolar Stimulation; Bipolar Stimulation; Tripolar Stimulation; Dual or Complex Cathodes, Current Steering, and Interleaving; Electrode Spacing; Pulse Generators; Electrical Stimulation Technology; Power Sources: Rechargeable, Nonrechargeable, and Radiofrequency; Pacemakers and Implanted Pulse Generators: Are They Compatible?; Current Versus Voltage Control; Independently Controlled Current Delivery; Interleaved Pulses in Nonindependently Controlled Current/Voltage Delivery Systems; References; Further Reading

Chapter 6: Trial of Spinal Cord Stimulation: Basic Considerations

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

ISBN:

0-19-045308-7

1-282-54414-4

9786612544149

0-19-974856-X

OCLC:

923712230