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 Introduction
to Screening and Implant TechniquesScreening
Test for Neurostimulation Complete
System ImplantationPreoperative
Considerations and CareNeurostimulation
System Implant ProcedurePostoperative
CareComplete System Implantation Preoperative Considerations and Care Training for key personnel should be conducted and arrangements for therapy maintenance should be made before a neurostimulation system is implanted. (Also see Practice Components for additional considerations.) Once a neurostimulation patient is admitted to the hospital, standard preoperative spinal surgery protocols should be followed. Particular attention also should be paid to ensuring thorough patient education. It is critical that the patient and his or her family fully understand the surgical procedures, the system components involved, and the expected outcome. Patient education materials are available from Medtronic upon request. Once it has been determined that the patient is going to receive neurostimulation, the next responsibility is to conduct preoperative care and education. Determining Implant Site Prior to surgery, the clinician should confer with the patient to determine the neurostimulator pocket site. The following guidelines may be used in making the determination:
Identifying and Controlling Infections Prior to surgery, it is critical to detect the presence of infection. Laboratory testing (e.g., complete blood count differential and urinalysis) should be conducted one to two days prior to surgery. If the patient shows any sign of infection, the implant should be postponed until the infection is resolved. You may also want to consider treating the patient with pre- and perioperative prophylactic antibiotics.Patient Informed Consent During preoperative care, the patient should be instructed on his/her treatment and personal responsibilities. If you haven't done so already, review the Patient Informed Consent Form and educate the patient regarding its content. By reviewing the Informed Consent Form with a patient, a clinician can ensure that he or she has covered all the critical information regarding the therapy. Primary areas to be covered during preoperative education and the Informed Consent process include:
For more information see Patient and Family Education. [Top]To see Citations regarding Screening Test and Implant Techniques. . . [Top] Introduction
to Screening and Implant TechniquesScreening
Test for NeurostimulationComplete
System ImplantationPreoperative
Considerations and CareNeurostimulation
System Implant ProcedurePostoperative
Care |
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