Comité de Consenso sobre la Adecuación de la Neuroestimulación (NACC): Recomendaciones para la Técnica Quirúrgica para la Estimulación de la Médula Espinal: Publicado originalmente en la Revista Neuromodulation 2022; 25: 1–34. Traducción: Dr. Sergio Sacchettoni.

Timothy R. Deer; Marc A. Russo; Jay S. Grider; Jason Pope; Philippe Rigoard; Jonathan M. Hagedorn; Ramana Naidu; Denis G. Patterson; Derron Wilson; Timothy R. Lubenow; Asokumar Buvanendran; Samir J. Sheth; Rany Abdallah; N. Nick Knezevic; Stefan Schu; Harold Nijhuis; Pankaj Mehta; Ricardo Vallejo; Jay M. Shah; Michael E. Harned; Navdeep Jassal; José Manuel González; Thomas P. Pittelkow; Shachi Patel; Stana Bojanic; Kenneth Chapman; Natalie Strand; Alexander L. Green; Peter Pahapill; Alessandro Dario; Fabian Piedimonte; Robert M. Levy

doi:10.47924/neurotarget2023458

Autores/as

Timothy R. Deer The Spine and Nerve Centers of the Virginias, Charleston, WV, USA
Marc A. Russo Hunter Pain Specialists, Newcastle, New South Wales, Australia
Jay S. Grider UKHealthCare Pain Services, Department of Anesthesiology, University of Kentucky College of Medicine, Lexington, KY, USA
Jason Pope Evolve Restorative Center, Santa Rosa, CA, USA
Philippe Rigoard Department of Spine Surgery and Neuromodulation, PRISMATICS Lab, Poitiers University Hospital, Poitiers, France
Jonathan M. Hagedorn Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
Ramana Naidu California Orthopedics & Spine, Larkspur, CA, USA
Denis G. Patterson Nevada Advanced Pain Specialists, Reno, NV, USA
Derron Wilson Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Timothy R. Lubenow Department of Anesthesiology, Rush University Medical Center, Chicago, IL, USA
Asokumar Buvanendran Department of Anesthesiology, Rush University Medical Center, Chicago, IL, USA
Samir J. Sheth Department of Anesthesiology and Pain Medicine, University of California, Davis, Davis, CA, USA
Rany Abdallah Center for Interventional Pain and Spine, Milford, DE, USA
N. Nick Knezevic Department of Anesthesiology and Surgery at University of Illinois, Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA
Stefan Schu Leitender Arzt Neuromodulation, Neurochirurgie, Sana Kliniken Duisburg GmbH, Duisburg, Germany
Harold Nijhuis Department of Anesthesiology, St. Antonius Hospital, Nieuwegein, The Netherlands
Pankaj Mehta Pain Specialists of America, Austin, TX, USA
Ricardo Vallejo Millennium Pain Center, Bloomington, IL, USA
Jay M. Shah SamWell Institute for Pain Management, Colonia, NJ, USA
Michael E. Harned UKHealthCare Pain Services, Department of Anesthesiology, University of Kentucky College of Medicine, Lexington, KY, USA
Navdeep Jassal Spine & Pain Institute of Florida, Lakeland, FL, USA
José Manuel González Hospital Clínico Universitario Virgen de la Victoria, Servicio Andaluz de Salud, Málaga, Spain
Thomas P. Pittelkow Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, USA
Shachi Patel Delmarva Spine and Pain Center, Newark, DE, USA
Stana Bojanic Department of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK
Kenneth Chapman Department of Anesthesiology, Perioperative Care, and Pain Medicine, The Pain and Spine Institute of New York, New York, NY, USA
Natalie Strand Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA
Alexander L. Green Nuffield Department of Surgical Sciences, Oxford University, Oxford, England, UK
Peter Pahapill Functional Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA
Alessandro Dario Department of Neurosurgery, ASST Settelaghi, Insubria University, Varese, Italy
Fabian Piedimonte Fundación CENIT—University of Buenos Aires, Buenos Aires, Argentina https://orcid.org/0000-0003-4661-4449
Robert M. Levy International Neuromodulation Society, Neurosurgical Services, Clinical Research, Anesthesia Pain Care Consultants, Tamarac, FL, USA

DOI:

https://doi.org/10.47924/neurotarget2023458

Palabras clave:

Mejores prácticas, consenso, estimulación de la médula espinal, técnica quirúrgica, neuroestimulación

Resumen

Introducción: El campo de la neuroestimulación para el tratamiento del dolor crónico es un área de la medicina en rápido desarrollo. Aunque las terapias de neuroestimulación han avanzado significativamente como resultado de las mejoras tecnológicas; la planificación quirúrgica, la colocación del dispositivo y la atención posoperatoria son de igual importancia para optimizar los resultados. Este proyecto del Comité de Consenso sobre la Adecuación de la Neuroestimulación (NACC, por sus siglas en inglés) pretende proporcionar orientación basada en la evidencia que a menudo se pasa por alto para estas áreas de la práctica de la neuroestimulación.
Materiales y métodos: Los autores se eligieron en función de su experiencia clínica, familiaridad con la literatura revisada por pares, productividad de la investigación y contribuciones a la literatura sobre neuromodulación. Los líderes de sección supervisaron las búsquedas bibliográficas en MEDLINE, BioMed Central, Current Contents Connect, Embase, Internatio-nal Pharmaceutical Abstracts, Web of Science, Google Scholar y PubMed desde la última publicación de NACC en 2017 hasta el presente. Los estudios identificados se calificaron utilizando los criterios del Grupo de trabajo de servicios preventivos de los Estados Unidos para la evidencia y la certeza del beneficio neto. Las recomendaciones se basan en la solidez de la evidencia y el consenso cuando la evidencia era escasa.
Resultados: Este proyecto NACC brinda orientación sobre la evaluación preoperatoria, las técnicas intraoperatorias y el manejo posoperatorio en forma de puntos de consenso con apoyo en la evidencia. Estos resultados se basan en el grado de evidencia, la fuerza del consenso y la opinión de expertos.
Conclusiones: El NACC ha brindado orientación para un plan quirúrgico que abarca la atención del paciente desde la etapa de planificación hasta la experiencia quirúrgica y la atención posoperatoria. Las recomendaciones generales están diseñadas para mejorar la eficacia y la seguridad de estos procedimientos de neuromodulación a los que se someten los pacientes y están destinadas a aplicarse en toda la comunidad internacional.

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