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Video Transcription
Video Summary
Dr. Madi Schnur discusses the importance of patient selection for neuromodulation devices. She explains that selecting the right patients can improve long-term relief and reduce treatment failure rates. Treatment failure not only leads to patient dissatisfaction but also incurs additional costs for device removal. Dr. Schnur emphasizes the need to follow FDA-approved indications and ensure a positive response to a trial before placing a permanent device. Factors such as patient safety, pregnancy, and patient understanding of device operation should also be considered. Dr. Schnur provides examples of common indications for different devices, including spinal cord stimulation, dorsal root ganglion stimulation, intrathecal pain pumps, and peripheral nerve stimulation. Psychological risk factors, patient demographics like BMI and smoking, and medication use (such as opioids) should also be evaluated when selecting patients. Finally, Dr. Schnur discusses guidelines, such as the NAC guidelines and PAC guidelines, for infection prevention and management, as well as the importance of staying updated on current guidelines for device implantation.
Keywords
patient selection
neuromodulation devices
treatment failure rates
FDA-approved indications
device removal
spinal cord stimulation
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