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Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia

INTRODUCTION: 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 provid...

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Autores principales: Hasoon, Jamal, Urits, Ivan, Viswanath, Omar, Varrassi, Giustino, Simopoulos, Thomas T., Kohan, Lynn, Gutierrez, Genaro, Orhurhu, Vwaire, Aner, Musa, Gill, Jatinder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8586060/
https://www.ncbi.nlm.nih.gov/pubmed/34652716
http://dx.doi.org/10.1007/s40122-021-00332-2
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author Hasoon, Jamal
Urits, Ivan
Viswanath, Omar
Varrassi, Giustino
Simopoulos, Thomas T.
Kohan, Lynn
Gutierrez, Genaro
Orhurhu, Vwaire
Aner, Musa
Gill, Jatinder
author_facet Hasoon, Jamal
Urits, Ivan
Viswanath, Omar
Varrassi, Giustino
Simopoulos, Thomas T.
Kohan, Lynn
Gutierrez, Genaro
Orhurhu, Vwaire
Aner, Musa
Gill, Jatinder
author_sort Hasoon, Jamal
collection PubMed
description INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
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spelling pubmed-85860602021-11-15 Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia Hasoon, Jamal Urits, Ivan Viswanath, Omar Varrassi, Giustino Simopoulos, Thomas T. Kohan, Lynn Gutierrez, Genaro Orhurhu, Vwaire Aner, Musa Gill, Jatinder Pain Ther Original Research INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Springer Healthcare 2021-10-15 2021-12 /pmc/articles/PMC8586060/ /pubmed/34652716 http://dx.doi.org/10.1007/s40122-021-00332-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Hasoon, Jamal
Urits, Ivan
Viswanath, Omar
Varrassi, Giustino
Simopoulos, Thomas T.
Kohan, Lynn
Gutierrez, Genaro
Orhurhu, Vwaire
Aner, Musa
Gill, Jatinder
Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title_full Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title_fullStr Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title_full_unstemmed Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title_short Percutaneous Spinal Cord Stimulation Lead Placement Under Deep Sedation and General Anesthesia
title_sort percutaneous spinal cord stimulation lead placement under deep sedation and general anesthesia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8586060/
https://www.ncbi.nlm.nih.gov/pubmed/34652716
http://dx.doi.org/10.1007/s40122-021-00332-2
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