Single-shot lumbar epidural and sedation during endoscopic lumbar discectomy: A Case series

• Main Authors: Delma DCunha, P S Balakrishna Achar, Mrinal Shetty
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: The Indian Anaesthetists' Forum
• Subjects: endoscopic discectomy; lumbar epidural analgesia; sedation
• Online Access: http://www.theiaforum.org/article.asp?issn=2589-7934;year=2020;volume=21;issue=2;spage=100;epage=103;aulast=DCunha

Endoscopic discectomy is a painful surgery yet preferably done under moderate sedation and analgesia as the surgeon requires cooperation and inputs from the patient during the procedure. While prone positioning poses a problem for airway management, light sedation poses a problem for securing the airway if the need arises. Therefore, adequate sedation and analgesia is a challenge for the anesthesiologist. Here, we report the management of four patients who successfully underwent endoscopic discectomy under single-shot lumbar epidural and mild-to-moderate sedation.