Epidural anesthesia for laminectomy lead placement in spinal cord stimulation.
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.
García-Pérez
María Luisa
ML
Department of Anesthesiology, Critical Care and Pain Management, Hospital Clínico Universitario de Valencia, Avda, Blasco Ibañez 17, 46010 Valencia, Spain.
Badenes
Rafael
R
García-March
Guillermo
G
Bordes
Vicente
V
Belda
Francisco Javier
FJ
D000368:Aged; D000767:Anesthesia, Epidural / Q000295:instrumentation* / Q000379:methods; D004599:Electric Stimulation Therapy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery*