Table of Contents Author Guidelines Submit a Manuscript
The Scientific World Journal
Volume 2016, Article ID 8767410, 4 pages
http://dx.doi.org/10.1155/2016/8767410
Review Article

Sedation for Percutaneous Endoscopic Lumbar Discectomy

Department of Anesthesiology and Reanimation, Mustafa Kemal University Faculty of Medicine, 31100 Hatay, Turkey

Received 20 February 2016; Accepted 29 August 2016

Academic Editor: Serra Sencer

Copyright © 2016 Menekse Oksar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although anesthetic requirements for minimally invasive neurosurgical techniques have been described in detail and applied successfully since the early 2000s, most of the literature on this subject has dealt with cranial cases that were operated on in the supine or sitting positions. However, spinal surgery has also used minimally invasive techniques that were performed in prone position for more than 30 years to date. Although procedures in both these neurosurgical techniques require the patient to be awake for a certain period of time, the main surgical difference with minimally invasive spinal surgery is that the patients are in the prone position, which may result in increased requirement of airway management because of deep sedation. In addition, although minimally invasive spinal surgery progresses slowly and different techniques are used with no agreement on the terminology used to describe these techniques thus far, the anesthetist needs to understand the surgical and anesthetic requirements for each type of intervention in order to take necessary precautions. This paper reviews the literature on this topic and discusses the anesthetic necessities for percutaneous endoscopic laser surgery.