• Anesthesia and analgesia · Nov 2007

    Comparative Study

    Epidural anesthesia for laminectomy lead placement in spinal cord stimulation.

    • María Luisa García-Pérez, Rafael Badenes, Guillermo García-March, Vicente Bordes, and Francisco Javier Belda.
    • Department of Anesthesiology, Critical Care and Pain Management, Hospital Clínico Universitario de Valencia, Avda, Blasco Ibañez 17, 46010 Valencia, Spain.
    • Anesth. Analg. 2007 Nov 1;105(5):1458-61, table of contents.

    BackgroundSpinal 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.MethodsWe 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.ResultsThe results in our study demonstrate that epidural anesthesia is a suitable technique for SCS lead implant.ConclusionsThis 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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