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Epidural anesthesia for laminectomy lead placement in spinal cord stimulation
María Luisa García-Pérez1, Rafael Badenes, Guillermo García-March
1Department of Anesthesiology, Critical Care and Pain Management, Hospital Clínico Universitario de Valencia, Avda, Blasco Ibañez 17, 46010 Valencia, Spain.
Background:
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.
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