Intraoperative Neurophysiologic Monitoring: Basic Principles and Recent Update

Kim, Sung Min; Kim, Seung Hyun; Seo, Dae Won; Lee, Kwang Woo

doi:10.3346/jkms.2013.28.9.1261

Cited by 96 publications

(87 citation statements)

References 57 publications

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“…In this context, since a 2015 randomized controlled trial, dexmedetomidine has consistently proven to be a safe adjuvant to intravenous anesthesia on SSEP, MEP and visual evoked potentials recordings, without latencies and amplitudes shifts in therapeutic doses. Upon that, neuromuscular blocking drugs may improve waveform quality by amplifying signal to noise ratio and eliminating electromyography (EMG) artifact [7,27].…”

Section: Resultsmentioning

confidence: 99%

“…Since IONM may detect patients who will eventually require intraluminal shunting, intraoperative ischemic events may be timely avoided. However, MEP during carotid endarterectomy are limited and data about ischemia tolerance above 7 min is inexistent [7,38,40,41,51,52].…”

Section: Discussion Vascular Proceduresmentioning

confidence: 99%

“…Currently, intraoperative neurophysiological monitoring (IONM) is known to enhance specialist's ability to prevent intraoperative nocive maneuvers, predict and improve both outcomes and decision-making [2][3][4][5][6][7][8]. Even more, surgical approach became more aggressive and accurate along with a greater impact in patients' outcome plus quality of care during surgical procedures [9].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, recordings' changes can result from surgical maneuvers, pharmacological interventions, patient's positioning during the procedure and anatomical variation, always including the physiological component [7,21,22].…”

Section: Introductionmentioning

confidence: 99%

“…Plus, monitoring modality should be chosen by the surgeon and his team to better locate, monitor and protect structures known to be at risk depending on surgical approach [7,15,20,21].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Intraoperative Evoked Potentials: A Review of Clinical Impact and Limitations

Marafona¹,

Machado²

2017

J Anesth Clin Res

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Background: Nowadays, intraoperative evoked potentials are recommended in a variety of procedures but there is still a lack of standard protocols and consensus about warning criteria. Moreover, studies are now being made to fundament its risk-beneficial ratio through recordings' predictive value for short and long term outcomes. Furthermore, wake up test limitations encouraged intraoperative evoked potentials research, a reliable monitoring technology.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussion Vascular Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Plus, monitoring modality should be chosen by the surgeon and his team to better locate, monitor and protect structures known to be at risk depending on surgical approach [7,15,20,21].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Intraoperative Evoked Potentials: A Review of Clinical Impact and Limitations

Marafona¹,

Machado²

2017

J Anesth Clin Res

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Recent Technological Developments in the Diagnosis and Treatment of Cerebral Edema

Deshmukh

Dabbagh

Jiang

et al. 2021

Advanced NanoBiomed Research

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Latest technological advancements in neurocritical care have translated to improved clinical outcomes and have paved the way for the effective diagnosis and treatment of cerebral edema. Effective management of cerebral edema has the potential to provide a personalized treatment by obtaining the complete pathophysiological information of the patient. The aims of this review are to inform the reader about the research and development in this field in the past decade as well as the materialization of scientific literature through patents. There is a growing interest in multimodal monitoring of the diseased brain as it provides a necessary means to implement effective intervention strategies. Although there is a gradual shift toward the adoption of noninvasive devices for research purposes, their clinical applications are hindered by their inaccuracies. However, the inherent risk of complication and high costs of implementation challenge the status quo. The role of neuroprotectants is explored and the combination of neurodiagnostic and neuroprotective approaches is proposed. Finally, the impacts of the current state of global affairs are discussed and it is predicted that the rising number of traumatic brain injury patents will inevitably translate to improvements in technologies to effectively address cerebral edema.

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Intraoperative Neuromonitoring: Principles and Considerations for Perioperative Nurses

Roth¹,

Rakers²

2019

AORN Journal

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Intraoperative neuromonitoring (IONM) is a method used to warn the surgeon of impending neurological damage while it can still be corrected, ideally preventing a permanent neurological deficit in the surgical patient. It was originally used in neurosurgery, but now also applies to other surgical specialties. Comprehensive monitoring of a patient's neurological status requires using a variety of approaches. The IONM tests most frequently used in the OR are somatosensory evoked potentials; transcranial electrical motor evoked potentials; electromyography, including cranial nerve monitoring; and electroencephalography. With its increased use during a variety of operative and other invasive procedures, most perioperative nurses will be exposed to IONM at some point in their careers. This article provides perioperative nurses with a basic understanding of IONM, including the framework, purpose, associated terminology, and nursing implications.

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Intraoperative Neurophysiologic Monitoring: Basic Principles and Recent Update

Cited by 96 publications

References 57 publications

Intraoperative Evoked Potentials: A Review of Clinical Impact and Limitations

Intraoperative Evoked Potentials: A Review of Clinical Impact and Limitations

Recent Technological Developments in the Diagnosis and Treatment of Cerebral Edema

Intraoperative Neuromonitoring: Principles and Considerations for Perioperative Nurses

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