Journal of Spine

Justin Field

Publications

• Research Article
  Lessons Learned Using Local Anesthesia for Minimally Invasive Endoscopic Spine Surgery
  Author(s): Anthony T Yeung, Christopher A Yeung, Nima Salari, Justin Field, James Navratil and Harrison MaioAnthony T Yeung, Christopher A Yeung, Nima Salari, Justin Field, James Navratil and Harrison Maio
  
  Background/purpose: Operating under local anesthesia allows the patient to respond and provide feedback during surgery that is invaluable for patient safety and for the assessment of the pain generators and ultimately understanding of the source of pain that the surgeon is targeting. Over 10,000 case studies make up the database for information gleaned from patients reporting the pain experienced and relieved during translaminar and transforaminal endoscopic decompression. Method: The patient is provided mild sedation with versed and fentanyl unless no sedation is requested. Patients requesting no sedation are usually anesthesiologists and other spine surgeons who opt for decompressive surgery, but wanted some measure of surgical participation and control. The anesthesiologist titrates the patient with 1-2 cc of fentanyl and versed pre-op with titration during surgery. The average tot.. Read More»
  DOI: 10.4172/2165-7939.1000377

  Abstract PDF