Asleep-Awake-Asleep general anesthesia for open cervical rhizotomy: case report and description of the technique.
The authors describe the technique of Asleep-Awake-Asleep anesthesia for open dorsal rhizotomy in a 78-year-old female patient, admitted to the hospital with intractable pain in the distribution of C2 dermatome following a road traffic accident. The patient was anesthetised and the rhizotomy performed using the intradural approach. Anesthesia was conducted by Total Intravenous Anesthesia using a Target Controlled Infusion system. The patient was awakened twice intraoperatively to verify success of the rhizotomy. Complete pain relief was obtained and maintained at 1 year follow-up.
O'Shea
J P
JP
Royal London Hospital, Whitechapel, United Kingdom.
Sarwat
M A
MA
Sutcliffe
C J
CJ
D000063:Accidents, Traffic; D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D010148:Intractable Pain / Q000209:etiology / Q000601:surgery*; D019051:Rhizotomy; D014851:Wakefulness