Combining Awake Anesthesia with Minimal Invasive Surgery Optimizes Intraoperative Surgical Spinal Cord Stimulation Lead Placement
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| Publicat a: | Journal of Clinical Medicine vol. 11, no. 19 (2022), p. 5575 |
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| Autor principal: | |
| Altres autors: | , , , , , , , , , , , , , , , , , , , |
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MDPI AG
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| Accés en línia: | Citation/Abstract Full Text + Graphics Full Text - PDF |
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| 001 | 2724263318 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 2077-0383 | ||
| 024 | 7 | |a 10.3390/jcm11195575 |2 doi | |
| 035 | |a 2724263318 | ||
| 045 | 2 | |b d20220101 |b d20221231 | |
| 100 | 1 | |a Rigoard, Philippe |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; Department of Neuro-Spine & Neuromodulation, Poitiers University Hospital, 86000 Poitiers, France; Pprime Institute UPR 3346, CNRS, ISAE-ENSMA, University of Poitiers, 86000 Poitiers, France | |
| 245 | 1 | |a Combining Awake Anesthesia with Minimal Invasive Surgery Optimizes Intraoperative Surgical Spinal Cord Stimulation Lead Placement | |
| 260 | |b MDPI AG |c 2022 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a Spinal cord stimulation (SCS) is an effective and validated treatment to address chronic refractory neuropathic pain in persistent spinal pain syndrome-type 2 (PSPS-T2) patients. Surgical SCS lead placement is traditionally performed under general anesthesia due to its invasiveness. In parallel, recent works have suggested that awake anesthesia (AA), consisting of target controlled intra-venous anesthesia (TCIVA), could be an interesting tool to optimize lead anatomical placement using patient intra-operative feedback. We hypothesized that combining AA with minimal invasive surgery (MIS) could improve SCS outcomes. The goal of this study was to evaluate SCS lead performance (defined by the area of pain adequately covered by paraesthesia generated via SCS), using an intraoperative objective quantitative mapping tool, and secondarily, to assess pain relief, functional improvement and change in quality of life with a composite score. We analyzed data from a prospective multicenter study (ESTIMET) to compare the outcomes of 115 patients implanted with MIS under AA (MISAA group) or general anesthesia (MISGA group), or by laminectomy under general anesthesia (LGA group). All in all, awake surgery appears to show significantly better performance than general anesthesia in terms of patient pain coverage (65% vs. 34–62%), pain surface (50–76% vs. 50–61%) and pain intensity (65% vs. 35–40%), as well as improved secondary outcomes (quality of life, functional disability and depression). One step further, our results suggest that MISAA combined with intra-operative hypnosis could potentialize patient intraoperative cooperation and could be proposed as a personalized package offered to PSPS-T2 patients eligible for SCS implantation in highly dedicated neuromodulation centers. | |
| 651 | 4 | |a Minneapolis Minnesota | |
| 651 | 4 | |a United States--US | |
| 653 | |a Control theory | ||
| 653 | |a Patients | ||
| 653 | |a Quality of life | ||
| 653 | |a Software | ||
| 653 | |a Back pain | ||
| 653 | |a Spinal cord | ||
| 653 | |a Back surgery | ||
| 653 | |a General anesthesia | ||
| 700 | 1 | |a Ounajim, Amine |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Goudman, Lisa |u Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; STIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium; Research Foundation—Flanders (FWO), 1090 Brussels, Belgium | |
| 700 | 1 | |a Wood, Chantal |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Roulaud, Manuel |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Page, Philippe |u Department of Neuro-Spine & Neuromodulation, Poitiers University Hospital, 86000 Poitiers, France | |
| 700 | 1 | |a Lorgeoux, Bertille |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Baron, Sandrine |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Nivole, Kevin |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Many, Mathilde |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 700 | 1 | |a Cuny, Emmanuel |u Department of Neurosurgery, Bordeaux University Hospital, 33000 Bordeaux, France | |
| 700 | 1 | |a Voirin, Jimmy |u Department of Neurosurgery, Colmar Hospital, 68000 Colmar, France | |
| 700 | 1 | |a Fontaine, Denys |u Centre Hospitalier Universitaire de Nice, Department of Neurosurgery, Université Côte d’Azur, 06000 Nice, France; FHU InovPain, Côte Azur University, 06000 Nice, France | |
| 700 | 1 | |a Sylvie Raoul |u Department of Neurosurgery, Nantes University Hospital, 44000 Nantes, France | |
| 700 | 1 | |a Mertens, Patrick |u Department of Neurosurgery, Lyon University Hospital, 69000 Lyon, France | |
| 700 | 1 | |a Peruzzi, Philippe |u Department of Neurosurgery, Reims University Hospital, 51100 Reims, France | |
| 700 | 1 | |a Caire, François |u Department of Neurosurgery, Limoges University Hospital, 87000 Limoges, France | |
| 700 | 1 | |a Buisset, Nadia |u Department of Neurosurgery, Lille University Hospital, 59000 Lille, France | |
| 700 | 1 | |a Romain, David |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; Physical and Rehabilitation Medicine Unit, Poitiers University Hospital, University of Poitiers, 86021 Poitiers, France | |
| 700 | 1 | |a Moens, Maarten |u Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; STIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium; Department of Radiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium | |
| 700 | 1 | |a Billot, Maxime |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France | |
| 773 | 0 | |t Journal of Clinical Medicine |g vol. 11, no. 19 (2022), p. 5575 | |
| 786 | 0 | |d ProQuest |t Health & Medical Collection | |
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