Explore efficacy, complications, and other factors associated with anaesthetic choice- To evaluate the efficacy of local + MAC as an alternative anesthetic to general anesthesia and to analyze patients' outcomes and experiences.
100 Patients ages 40-95 with lumbar stenosis to be decompressed are randomized to undergo the procedure with either general anesthesia or local anesthetic with MAC. Participants will be randomized to either group 1 General anesthesia or group 2 Local + MAC anesthetic group. Group 1: General Anesthesia: Medically induced unconsciousness that suppresses reflexes and requires intubation (a tube inserted through the mouth and into the airway) to assist in breathing. Group 2: Local + MAC: Local anesthetic (lidocaine) injected into the site of the incision/dissection with additional IV medication (Propofol) to achieve a state in which the patient is generally aware, but relaxed
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
25mg Propofol administered by injection
Licocaine administered locally via injection.
Outpatient Surgery Center/Stanford Spine Clinic
Redwood City, California, United States
RECRUITINGStanford Outpatient surgery center
Redwood City, California, United States
RECRUITINGChange in Oswestry Disability Index (ODI) score
Scale is expressed as a percentage (0 to 100%). Higher score indicates more severe disability.
Time frame: Basline through year 2
Change in patient reported pain
Measured on visual analog scale (VAS). Score range 0-10, 0= no pain and 10 = worst pain.
Time frame: Basline through year 2
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