ISSN: 2155-6148
Department of Anesthesia, Kejal Lifeline Hospital, Gujrat, India
Research Article
Segmental Spinal Anesthesia for Enhancing the Safety Margin in Endoscopic Discectomy: A Feasibility Study
Author(s): Richa Chandra, Gaurav Mishra* and Pranay T. Vaghela
Background: In the present era, a herniated vertebral disc is the most commonly encountered pathology of spine due
to multiple lifestyle factors, most common site being L4-L5, L5-S1. Percutaneous endoscopic discectomy has
superseded the traditional open discectomy approach for such cases. Regarding the choice of anesthesia for such
procedures, general anesthesia was considered Gold standard. With the advent of COVID-19 pandemic, the regional
anesthesia techniques gained popularity for a majority of surgical procedures. A novel concept of segmental spinal
anesthesia i.e. blockade of selective dermatomes only essential for surgery, using very low dose of local anesthetics
take care of surgical pain with intact leg movements decreasing incidence of inadvertent neurological injury. In the
present feasibility study, we utilized an approach of segmental.. View More»
DOI:
10.35248/ 2155-6148.23.14.1115