35th AM (2024) - Poster Session-The Masimo BRIDGE Auricular Neurostimulation for

The Masimo BRIDGE Auricular Neurostimulation for

Pdf Summary

Opioid withdrawal presents a major challenge for those with opioid use disorder, often impeding treatment efforts. Traditional methods of managing these symptoms include pharmacological interventions, but the rise of fentanyl usage emphasizes the need for new strategies. The Masimo BRIDGE device, which employs percutaneous electrical nerve field stimulation (PENFS), offers a non-pharmacological alternative by activating the parasympathetic nervous system through cranial and facial nerve stimulation.<br /><br />In a study involving 73 patients across five U.S. states conducted between June 2015 and July 2016, the effectiveness of the BRIDGE device was evaluated during opioid withdrawal. Participants, diagnosed with opioid dependence, were treated with the BRIDGE device, which applied auricular neurostimulation. Withdrawal severity was monitored using the Clinical Opioid Withdrawal Scale (COWS) at several intervals post-treatment and at five days.<br /><br />Results demonstrated significant reductions in withdrawal symptoms: a 62.7% decrease observed within 20 minutes of treatment, 80% reduction at 30 minutes, and 84.6% after 60 minutes, with scores dropping by 97.1% in those assessed at five days. Additionally, throughout the five-day period, no rescue medications were required. Following treatment, 88.8% of patients successfully transitioned to medication-assisted therapy (MAT).<br /><br />The study suggests the BRIDGE device significantly mitigates withdrawal symptoms and aids in transitioning to opioid agonist therapy (OAT), potentially enhancing treatment accessibility and encouraging more individuals to seek help by reducing withdrawal-related fears. Future research, including evaluations on patients using unregulated fentanyl, might further validate and expand these findings for broader clinical application.

Keywords

opioid withdrawal

opioid use disorder

Masimo BRIDGE device

percutaneous electrical nerve field stimulation

non-pharmacological treatment

Clinical Opioid Withdrawal Scale

auricular neurostimulation

medication-assisted therapy

opioid agonist therapy

fentanyl usage

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