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Cervical epidural anesthesia in tetraplegia
Jacques Deschodt1, Jean-François Lubrano, Michèle Kassim
1Department of Anesthesia, Lapeyronie Hospital, 34295 Montpellier, France. j-deschodt@chu-montpellier.fr
Hand Clinics
|December 12, 2002
Summary
Selective sensory block via continuous epidural anesthesia (CEA) benefits tetraplegic patients in secondary tendon surgery. This technique allows active patient participation and may be advantageous for both patients and surgeons in select cases.
Area of Science:
- Orthopedics
- Neurosurgery
- Anesthesiology
Background:
- Selective sensory block is crucial for secondary tendon surgery.
- Continuous epidural anesthesia (CEA) is a technique to achieve this block.
- Its application in tetraplegia requires careful consideration.
Purpose of the Study:
- To evaluate the benefits of CEA in tetraplegic patients undergoing secondary tendon surgery.
- To assess the feasibility and patient satisfaction with CEA in this population.
- To explore the potential advantages of CEA for dynamic upper leg procedures in tetraplegia.
Main Methods:
- A series of patients with tetraplegia underwent secondary tendon surgery.
- Continuous epidural anesthesia (CEA) was employed to achieve selective sensory block.
- Patient participation and satisfaction were primary outcome measures.
Main Results:
- All patients actively participated in their procedures.
- CEA facilitated selective sensory block, proving beneficial for tetraplegic patients.
- Patients reported high satisfaction with the dynamic approach.
Conclusions:
- CEA can be beneficial for tetraplegic patients in specific secondary tendon surgery cases.
- The technique allows for assessment of muscle tonicity and tenodesis in vivo.
- CEA offers advantages for both patients and surgeons in managing the tetraplegic upper leg.