Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia.
10 kHz stimulation
Chronic pain
Cylindrical electrodes
Neuromodulation
Patient safety
Spinal cord simulation
Journal
Pain and therapy
ISSN: 2193-8237
Titre abrégé: Pain Ther
Pays: New Zealand
ID NLM: 101634491
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
20
07
2021
accepted:
28
09
2021
pubmed:
16
10
2021
medline:
16
10
2021
entrez:
15
10
2021
Statut:
ppublish
Résumé
Spinal cord stimulation (SCS) is a commonly utilized therapy for the treatment of neuropathic pain conditions. The Neurostimulation Appropriateness Consensus Committee (NACC) has recommended that the placement of percutaneous SCS leads be performed in an awake patient capable of providing feedback. It is not currently known how commonly this recommendation is adhered to by physicians in clinical practice. This article presents the findings of a survey designed to answer this important question. We conducted a survey of the active membership of the American Society of Regional Anesthesia and Pain Medicine (ASRA) and the Spine Intervention Society (SIS) regarding practice patterns with SCS therapy. We analyzed the percent of respondents who indicated that they use deep sedation and general anesthesia during SCS placement as well as any reported complications. Many practitioners frequently utilize deep sedation as well as general anesthesia when performing SCS implants. Our findings demonstrate that 77% of physicians reported that they utilize deep sedation for permanent SCS implants at times, and 45% of physicians reported the use of general anesthesia for 10 kHz implants. Additionally, 94% of physicians reported that they have never had a complication related to the use of general anesthesia for a spinal cord stimulator placement. This survey provides initial data on SCS practices among a large cohort of clinicians who utilize SCS. SCS lead placement under deep sedation and general anesthesia appears to be common practice for many physicians who perform implants. This survey should stimulate further research on this topic, given that the current safety guidelines and the rate of physicians reporting the use of deep sedation and general anesthesia for spinal cord stimulator placement remain at odds.
Identifiants
pubmed: 34652716
doi: 10.1007/s40122-021-00332-2
pii: 10.1007/s40122-021-00332-2
pmc: PMC8586060
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1719-1730Informations de copyright
© 2021. The Author(s).
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