Neuromodulation: Conscious sedation with dexmedetomidine during stimulation electrode placement improves spinal cord stimulation outcomes - a case series of 25 consecutive patients

Spinal cord stimulation is currently used to treat neuropathic pain in patients with failed back surgery syndrome (FBSS)
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Most surgeries are performed under general anesthesia, although local anesthesia with or without sedation and spinal anesthesia is also possible

This article wanted to evaluate this in a larger patient population for surgical lead placement

Twenty-five consecutive patients with chronic neuropathic pain following previous spinal surgery (failed back surgery) were included between December 2016 and October 2018
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The mean age of the patient group was 53 years, and the male:female ratio was 2:3

At the end of the program, stop the infusion

Guided by patient feedback, electrode placement can be altered to optimize paresthesia localization

discomfort during surgery

discomfort during surgery

Twenty-four patients completed surgery using only dexmedetomidine and local anesthetic
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The infusion started an average of 55 minutes before the incision

Twenty-four patients completed surgery using only dexmedetomidine and local anesthetic

patient's desire for surgery

patient's desire for surgery

Different anesthesia techniques can be used during surgery to place spinal cord stimulator leads
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Only local anesthetics caused significant patient discomfort, and epidurals were described as an inconsistent technique because of a 22.

Different anesthesia techniques can be used during surgery to place spinal cord stimulator leads

Vanhauwaert, DJ, Couvreur, T.

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