Awake Testing for Permanent Implant Timeline

When I do awake testing, this is the timetable I typically follow for permanent placement.

Deep Propofol sedation


Localize with flouro

Infiltrate electrode and generator incisions

Make electrode incision one interspace below

Perform laminotomy, place electrode

Awake patient

Intraop testing

When ideal position confirmed take flouro

Deep Propofol Sedation

Anchor lead to inferior spinous process

Create pocket

Tunnel to battery site

Test impedance then tighten set screws

Confirm position with flouro

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