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Neuromodulation: Conscious sedation with dexmedetomidine during stimulation electrode placement improves spinal cord stimulation outcomes - a case series of 25 consecutive patients

 Last Update: 2022-01-23
 Source: Internet
 Author: User

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Spinal cord stimulation is currently used to treat neuropathic pain in patients with failed back surgery syndrome (FBSS)
.

Most surgeries are performed under general anesthesia, although local anesthesia with or without sedation and spinal anesthesia is also possible

This article wanted to evaluate this in a larger patient population for surgical lead placement

Twenty-five consecutive patients with chronic neuropathic pain following previous spinal surgery (failed back surgery) were included between December 2016 and October 2018
.

The mean age of the patient group was 53 years, and the male:female ratio was 2:3

At the end of the program, stop the infusion

Guided by patient feedback, electrode placement can be altered to optimize paresthesia localization

discomfort during surgery

Twenty-four patients completed surgery using only dexmedetomidine and local anesthetic
.

The infusion started an average of 55 minutes before the incision

Twenty-four patients completed surgery using only dexmedetomidine and local anesthetic

patient's desire for surgery

Different anesthesia techniques can be used during surgery to place spinal cord stimulator leads
.

Only local anesthetics caused significant patient discomfort, and epidurals were described as an inconsistent technique because of a 22.

Different anesthesia techniques can be used during surgery to place spinal cord stimulator leads

Vanhauwaert, DJ, Couvreur, T.

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