Abstract
Surgical management has traditionally been accomplished via open approaches. Minimally Invasive Spine Surgery (MISS)...
Highlights
Surgical management has traditionally been accomplished via open approaches
Of the 184 study patients, 40 patients (21.7%) had a postoperative irritation of the dorsal root ganglion (DRG)
Monitored anesthesia care with sedation in an ambulatory surgery center in the prone position is best suited for endoscopic spinal decompressions
Summary
Surgical management has traditionally been accomplished via open approaches. Minimally Invasive Spine Surgery (MISS) is gaining popularity in the last decade. 9 In endoscopic spine surgery, light sedation monitored anesthesia care is the critical element in allowing patients to discharge early from the recovery room or the ambulatory surgery center (ASC) [9, 10]. The authors describe their methodology of providing anesthesia tailored to the outpatient endoscopic decompression surgery, where patients need minimal amounts of sedatives and narcotics to feel comfortable throughout different stages of the spinal endoscopy surgery, are not intubated, and a rapidly recovered to be sent home from the recovery room typically within one hour from the operation. Outpatient spine surgery is characterized by shorter simplified versions of their inpatient counterparts carried out in a hospital setting
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