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The Neurostimulation Appropriateness Consensus Committee (NACC) Safety Guidelines for the Reduction of Severe Neurological Injury
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Timothy R. Deer MD Tim J. Lamer MD Jason E. Pope MD Steven M. Falowski MD David A. Provenzano MD Konstantin Slavin MD Stanley Golovac MD Jeffrey Arle MD PhD Joshua M. Rosenow MD Kayode Williams MD MBA Porter McRoberts MD Samer Narouze MD PhD Sam Eldabe MD Shivanand P. Lad MD PhD Jose A. De Andrés MD PhD FIPP EDRA Eric Buchser MD Philippe Rigoard MD PhD Robert M. Levy MD PhD Brian Simpson MD Nagy Mekhail MD PhD 《Neuromodulation》2017,20(1):15-30
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The Polyanalgesic Consensus Conference (PACC): Recommendations for Intrathecal Drug Delivery: Guidance for Improving Safety and Mitigating Risks
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Timothy R. Deer MD Jason E. Pope MD Salim M. Hayek MD PhD Tim J. Lamer MD Ilir Elias Veizi MD Michael Erdek MD Mark S. Wallace MD Jay S. Grider PhD MBA Robert M. Levy MD PhD Joshua Prager MD Steven M. Rosen MD Michael Saulino MD PhD Tony L. Yaksh PhD Jose A. De Andrés MD PhD FIPP EDRA David Abejon Gonzalez MD Jan Vesper MD Stefan Schu MD Brian Simpson MD Nagy Mekhail MD PhD 《Neuromodulation》2017,20(2):155-176
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The Polyanalgesic Consensus Conference (PACC): Recommendations on Intrathecal Drug Infusion Systems Best Practices and Guidelines
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Timothy R. Deer MD Jason E. Pope MD Salim M. Hayek MD PhD Anjum Bux MD Eric Buchser MD Sam Eldabe MD Jose A. De Andrés MD PhD EDRA Michael Erdek MD Dennis Patin MD Jay S. Grider PhD MBA Daniel M. Doleys PhD Marilyn S. Jacobs PhD Tony L. Yaksh PhD Lawrence Poree MD PhD Mark S. Wallace MD Joshua Prager MD Richard Rauck MD Oscar DeLeon MD Sudhir Diwan MD Steven M. Falowski MD Helena M. Gazelka MD Philip Kim MD Michael Leong MD Robert M. Levy MD PhD Gladstone McDowell II MD Porter McRoberts MD Ramana Naidu MD Samir Narouze MD PhD Christophe Perruchoud MD Steven M. Rosen MD William S. Rosenberg MD Michael Saulino MD PhD Peter Staats MD Lisa J. Stearns MD Dean Willis MD Elliot Krames MD Marc Huntoon MD Nagy Mekhail MD PhD 《Neuromodulation》2017,20(2):96-132
IntroductionPain treatment is best performed when a patient-centric, safety-based philosophy is used to determine an algorithmic process to guide care. Since 2007, the International Neuromodulation Society has organized a group of experts to evaluate evidence and create a Polyanalgesic Consensus Conference (PACC) to guide practice.MethodsThe current PACC update was designed to address the deficiencies and innovations emerging since the previous PACC publication of 2012. An extensive literature search identified publications between January 15, 2007 and November 22, 2015 and authors contributed additional relevant sources. After reviewing the literature, the panel convened to determine evidence levels and degrees of recommendations for intrathecal therapy. This meeting served as the basis for consensus development, which was ranked as strong, moderate or weak. Algorithms were developed for intrathecal medication choices to treat nociceptive and neuropathic pain for patients with cancer, terminal illness, and noncancer pain, with either localized or diffuse pain.ResultsThe PACC has developed an algorithmic process for several aspects of intrathecal drug delivery to promote safe and efficacious evidence-based care. Consensus opinion, based on expertise, was used to fill gaps in evidence. Thirty-one consensus points emerged from the panel considerations.ConclusionNew algorithms and guidance have been established to improve care with the use of intrathecal drug delivery. 相似文献
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