Cervical Stenosis, Disk, Herniated, Spondylosis
Conditions
Brief summary
Opioid overdose suppresses brainstem respiratory circuits, causes apnea, and may result in death. Epidural electrical stimulation (EES) at the cervical spinal cord facilitated motor activity in rodents and humans, and we hypothesized that EES of the cervical spinal cord could antagonize opioid-induced respiratory depression in humans. In this study, we will stimulate the spinal cord during surgery and assess its effects on respiratory function in human patients.
Interventions
Electrical spinal cord stimulation will be used to modulate respiratory function during general anesthesia.
Sponsors
Study design
Eligibility
Inclusion criteria
* Any patients undergoing brain or spinal cord surgery where spinal neuromonitoring is utilized.
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in respiratory frequency | During intraoperative surgery during stimulation and within 2 minutes after stimulation | Increase or decrease in respiratory frequency of 20% during or after stimulation |
| Change in respiratory tidal volume | During intraoperative surgery during stimulation and within 2 minutes after stimulation | Increase or decrease in respiratory tidal volume of 20% during or after stimulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in heart rate | During intraoperative surgery during stimulation and within 2 minutes after stimulation | Increase or decrease in heart rate of 20% during or after stimulation |
| Change in blood pressure | During intraoperative surgery during stimulation and within 2 minutes after stimulation | Increase or decrease in blood pressure of 20% during or after stimulation |
Countries
United States