METHODS: The executive committee of the INS nominated faculty for this NACC® publication on the basis of expertise, publications, and career work on the issue. In addition, the faculty was chosen in consideration of diversity and inclusion of different career paths and demographic categories. Once chosen, the faculty was asked to grade current evidence and along with expert opinion create consensus recommendations to address the lapses in information on this topic.
RESULTS: The NACC® group established informative and authoritative recommendations on the salvage and optimization of care for those with indwelling devices. The recommendations are based on evidence and expert opinion and will be expected to evolve as new data are generated for each topic.
CONCLUSIONS: NACC® guidance should be considered for any patient with less-than-optimal outcomes with a stimulation device implanted for treating chronic pain. Consideration should be given to these consensus points to salvage a potentially failed device before explant.
方法:INS执行委员会根据专业知识提名了该NACC®出版物的教师,出版物,和职业工作在这个问题上。此外,选择教师是考虑到多样性和不同的职业道路和人口类别的包容性。一旦被选中,教师被要求对当前证据进行评分,并与专家意见一起制定共识建议,以解决有关该主题的信息中的失误。
结果:NACC®小组为使用留置装置的患者提供了有关抢救和优化护理的信息和权威建议。这些建议基于证据和专家意见,随着每个主题的新数据生成,预计将不断发展。
结论:NACC®指导应考虑植入刺激装置治疗慢性疼痛的任何患者。应考虑这些共识点,以在外植体之前挽救可能发生故障的设备。