Evidence map›Paper›PMID 34652716›Full record

ArticlePain and therapy2021

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

Jamal Hasoon, Ivan Urits, Omar Viswanath, Giustino Varrassi, Thomas T Simopoulos, Lynn Kohan, Genaro Gutierrez, Vwaire Orhurhu, Musa Aner, Jatinder Gill

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Jamal HasoonDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02115, USA. Jhasoon@psadocs.com.ORCID http://orcid.org/0000-0001-8227-1864
Ivan UritsDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02115, USA.
Omar ViswanathDepartment of Anesthesiology, Louisiana State University Health Shreveport, Shreveport, LA, USA.
Giustino VarrassiPaoloProcacci Foundation, 00193, Roma, Italy.
Thomas T SimopoulosDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02115, USA.
Lynn KohanDepartment of Anesthesia, Critical Care, and Pain Medicine, University of Virginia Medical Center, Charlottesville, VA, USA.
Genaro GutierrezPain Specialists of America, Austin, TX, USA.
Vwaire OrhurhuDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Williamsport, PA, USA.
Musa AnerDepartment of Anesthesia, Critical Care, and Pain Medicine, Dartmouth-Hitchcock Medical Center, Dartmouth Medical School, Lebanon, NH, USA.
Jatinder GillDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02115, USA.
Beth Israel Deaconess Medical Center · USCreighton University · USDartmouth–Hitchcock Medical Center · USFondazione Roma · ITMedical Advanced Pain Specialists · USUniversity of Pittsburgh Medical Center · USUniversity of Virginia Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpinal 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.

methodsWe 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.

resultsMany 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.

conclusionsThis 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.

Indexed as

10 kHz stimulationChronic painCylindrical electrodesNeuromodulationPatient safetySpinal cord simulation

Identifiers

PMID34652716
PMCPMC8586060
OpenAlexW3206306763

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.