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Asleep-Awake-Asleep general anesthesia for open cervical rhizotomy: case report and description of the technique
J P O'Shea1, M A Sarwat, C J Sutcliffe
1Royal London Hospital, Whitechapel, United Kingdom.
Abstract:
The authors describe the technique of Asleep-Awake-Asleep anesthesia for open dorsal rhizotomy in a 78-year-old female patient, admitted to the hospital with intractable pain in the distribution of C2 dermatome following a road traffic accident. The patient was anesthetised and the rhizotomy performed using the intradural approach. Anesthesia was conducted by Total Intravenous Anesthesia using a Target Controlled Infusion system. The patient was awakened twice intraoperatively to verify success of the rhizotomy. Complete pain relief was obtained and maintained at 1 year follow-up.
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