Awake Lumbar Fusion

Jamie Goldstone Adler
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Abstract

Lumbar fusions can be performed under general anesthesia or as an awake procedure under spinal anesthesia. There is no consensus on the benefits of awake lumbar fusion. Improved patient satisfaction, less blood loss, stable hemodynamics, less postoperative pain, less postoperative nausea and vomiting, and less postoperative delirium are all possible benefits of awake lumbar fusion. Early, limited research confirms these benefits.
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清醒腰椎融合
腰椎融合术可以在全身麻醉下进行,也可以在脊椎麻醉下进行清醒手术。对于清醒腰椎融合术的益处还没有达成共识。患者满意度的提高、失血量的减少、血流动力学的稳定、术后疼痛的减少、术后恶心呕吐的减少以及术后谵妄的减少都是清醒腰椎融合术可能带来的好处。早期有限的研究证实了这些好处。
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