st. chiara university hospital pisa – italy
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 PresentationTRANSCRIPT
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St. Chiara University HospitalPISA – ITALY
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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
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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.
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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
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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.
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Multidisciplinary Screening Internal
Medicine
Psychological
Psychiatric
Anaesthesiologic
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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
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Sample 2/2
Observational study
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Study design 1/2
3 dimensions of pain:• Sensory• Affective• Evaluative
VAS
0No
pain
10Worst
possible pain
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Study design 2/2
T0 T1 T2 T3 T4 T5
Beforeimplant
3mths
6mths
12mths
IPQ
VAS
0 10
18mths
24mths
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Results 1/2Repeated Measures ANOVA - VAS
F = 57.87p <.0001
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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
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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.
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Thanks to Arpa foundation that help us in research