Facilitation of spinal cord stimulator implantation with epidural analgesia.
Spinal cord stimulator insertion can sometimes be impossible to achieve because of pain during attempted electrode advancement. Heavy sedation and general anaesthesia are contraindicated and epidural analgesia would appear to be a logical, but overlooked solution. A case is described where dilute lignocaine abolished prohibitive pain but left the appreciation of stimulation paraesthesias unaffected. The advantages of such an approach are discussed.
Richardson
J
J
Department of Anaesthetics, Bradford Royal Infirmary, UK.
D000368:Aged; D015360:Analgesia, Epidural; D000768:Anesthesia, General; D000779:Anesthetics, Local; D000075202:Contraindications; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D006801:Humans; D006993:Hypnotics and Sedatives; D008012:Lidocaine; D008297:Male; D013116:Spinal Cord / Q000502:physiology*
D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008012:Lidocaine