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Anesthesia methods for full-endoscopic lumbar discectomy: a review
Bin Zheng1, Chen Guo1, Shuai Xu1
1Spine Surgery, Peking University People's Hospital, Beijing, China.
Frontiers in Medicine
|September 4, 2023
Summary
Local anesthesia is common for full-endoscopic lumbar discectomy, but other methods like epidural or general anesthesia may offer better pain control. Choosing the right anesthesia depends on patient and surgical factors for optimal outcomes.
Area of Science:
- Neurosurgery
- Anesthesiology
Background:
- Full-endoscopic lumbar discectomy is a minimally invasive trend for lumbar disc herniation.
- Local anesthesia is the standard but may be insufficient for pain management, particularly in interlaminar approaches.
Purpose of the Study:
- To summarize current anesthesia methods for full-endoscopic lumbar discectomy.
- To compare the efficacy and safety of different anesthesia techniques.
Main Methods:
- Review of current literature on anesthesia in full-endoscopic lumbar discectomy.
- Comparison of local anesthesia with epidural, general, and regional anesthesia.
Main Results:
- Local anesthesia is widely used due to safety but may lack adequate analgesia.
- Epidural anesthesia shows promise for better intraoperative pain control with comparable safety.
- General anesthesia provides complete pain block but carries risks like nerve injury, necessitating neuromonitoring.
- Regional anesthesia is less common but reports effective anesthesia and safety.
Conclusions:
- Anesthesia selection for full-endoscopic lumbar discectomy requires individualized consideration of patient, surgical, and anesthesiologist factors.
- Optimizing anesthesia choice is crucial for patient comfort and surgical success.
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