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Dural Puncture During Spinal Cord Stimulator Lead Insertion: Analysis of Practice Patterns.

Warren A SoutherlandJamal HasoonIvan UritsOmar ViswanathThomas T SimopoulosFarnad ImaniHakimeh Karimi-AliabadiMusa M AnerLynn KohanJatinder Gill
Published in: Anesthesiology and pain medicine (2022)
Whereas the goals of the procedure would support abandoning the trial but continuing with the permanent in case of inadvertent dural puncture, we found that decision choices were minimally influenced by whether the dural puncture occurred during the trial or the permanent implant. The majority chose to continue with the procedure at a different level while close to a quarter chose to abandon the procedure. This article sets a time stamp in practice patterns from March 20, 2020 to June 26, 2020. These results are based on contemporary SCS practices as demonstrated by this cohort, rendering the options of abandoning or continuing after dural puncture as reasonable methods. Though more data is needed to provide a consensus, providers can now see how others manage dural punctures during SCS procedures.
Keyphrases
  • spinal cord
  • ultrasound guided
  • minimally invasive
  • study protocol
  • clinical trial
  • phase iii
  • healthcare
  • primary care
  • phase ii
  • spinal cord injury
  • medical education
  • decision making
  • open label