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Epidural anesthesia for laminectomy lead placement in spinal cord stimulation.

AbstractBACKGROUND: Spinal cord stimulation (SCS) is used to treat chronic pain and requires an awake patient for optimized lead positioning to locate paresthesias. Epidural anesthesia may be a suitable anesthetic but has not been evaluated. METHODS: We performed an open-label, prospective, observational, single-center study to evaluate the safety and efficacy of laminectomy lead placement under epidural anesthesia for the treatment of neuropathic chronic pain. RESULTS: The results in our study demonstrate that epidural anesthesia is a suitable technique for SCS lead implant. CONCLUSIONS: This is the first study using epidural anesthesia for SCS lead implants by laminectomy. The technique seems to be safe and effective.
AuthorsMaría Luisa García-Pérez, Rafael Badenes, Guillermo García-March, Vicente Bordes, Francisco Javier Belda (Affiliation: Department of Anesthesiology, Critical Care and Pain Management, Hospital Clínico Universitario de Valencia, Avda, Blasco Ibañez 17, 46010 Valencia, Spain.)
JournalAnesthesia and analgesia (Anesth Analg) Vol. 105 Issue 5 Pg. 1458-61, table of contents (Nov 2007) ISSN: 1526-7598 United States
PMID17959983 (Publication Type: Comparative Study, Journal Article)
Topics
  • Aged
  • Anesthesia, Epidural (instrumentation, methods)
  • Electric Stimulation Therapy (instrumentation, methods)
  • Female
  • Humans
  • Laminectomy (instrumentation, methods)
  • Male
  • Middle Aged
  • Pain, Intractable (pathology, surgery)
  • Prospective Studies
  • Spinal Cord (pathology, surgery)