用于脊髓刺激中椎板切除术电极置入的硬膜外麻醉。
Epidural anesthesia for laminectomy lead placement in spinal cord stimulation.
作者信息
García-Pérez María Luisa, Badenes Rafael, García-March Guillermo, Bordes Vicente, Belda Francisco Javier
机构信息
Department of Anesthesiology, Critical Care and Pain Management, Hospital Clínico Universitario de Valencia, Avda, Blasco Ibañez 17, 46010 Valencia, Spain.
出版信息
Anesth Analg. 2007 Nov;105(5):1458-61, table of contents. doi: 10.1213/01.ane.0000281153.02634.96.
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.
背景
脊髓刺激（SCS）用于治疗慢性疼痛，且需要清醒的患者以优化电极放置来定位感觉异常。硬膜外麻醉可能是一种合适的麻醉方法，但尚未得到评估。
方法
我们进行了一项开放标签、前瞻性、观察性、单中心研究，以评估在硬膜外麻醉下进行椎板切除术放置电极治疗神经性慢性疼痛的安全性和有效性。
结果
我们的研究结果表明，硬膜外麻醉是一种适用于脊髓刺激电极植入的技术。
结论
这是第一项使用硬膜外麻醉通过椎板切除术进行脊髓刺激电极植入的研究。该技术似乎安全有效。
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