Central Nervous System Monitoring in Anesthesia and Intensive Care


Book Description

Research in electrophysiologic monitoring in anesthesia and intensive care has focussed mostly on questions pertinent for patient care: First how to quantitate drug effects on brain electrical activity and the degree of anesthetic-induced suppression of the central nervous system. Second, how to monitor functional impairment following cerebral ischemia and hypoxia. And third, how to differ entiate between drug-induced effects on the central nervous system and deleteri ous events related to reductions in cerebral blood flow and/or oxygen delivery. Even though progress has been achieved over the last 10 years in this field and fascinating new techniques have been developed, it is still not clear which monitor parameter will provide adequate information on the depth of anes thesia and the analgesic level. Because the central nervous system has been one of the main research areas in our department over the last 10 years, we organized a workshop to summarize the latest developments in central nervous system monitoring. This book comprises the topics of this workshop and is intended to provide insight into the current status of central nervous system monitoring, elucidating possible indications and delineating its limitations.




Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals


Book Description

This widely praised, first-of-its-kind book has been thoroughly updated, expanded, and enriched with extensive new case material, illustrations, and link-outs to multimedia, practice guidelines, and more. Written and edited by outstanding world experts, this was the first and remains the leading single-source volume on intraoperative neurophysiological monitoring (IOM). It is aimed at graduate students and trainees, as well as members of the operative team, including anesthesiologists, technologists, neurophysiologists, surgeons, and nurses. Now commonplace in procedures that place the nervous system at risk, such as orthopedics, neurosurgery, otologic surgery, vascular surgery, and others, effective IOM requires an unusually high degree of coordination among members of the operative team. The purpose of the book is to help students, trainees, and team members acquire a better understanding of one another’s roles and thereby to improve the quality of care and patient safety. From the reviews of the First Edition: “A welcome addition to reference works devoted to the expanding field of nervous system monitoring in the intraoperative period... will serve as a useful guide for many different health care professionals and particularly for anesthesiologists involved with this monitoring modality...An excellent reference...[and] a helpful guide both to the novice and to the developing expert in this field.” ‐‐Canadian Journal of Anesthesia “Impressive... [The book] is well written, indexed, and illustrated...The chapters are all extensively referenced. It is also very good value at the price....I would recommend this book to all residents and especially to all neuroanesthesiologists. It will make a worthwhile addition to their library.” ‐‐Journal of Neurosurgical Anesthesiology




Neuromonitoring Techniques


Book Description

Neuromonitoring Techniques: Quick Guide for Clinicians and Residents provides a quick and easy guide to understanding various neuromonitoring equipment. Chapters include intracranial pressure monitoring, EEG-based monitors, evoked potentials and transcranial doppler. This book is written for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanesthesia and neurology. As specialized neuromonitoring is now routinely done in neurosurgical cases, it provides an important resource for neurologists, neurophysiologists, anesthesiologists and residents who are expected to have theoretical and practical knowledge on different systems. Each monitoring system is discussed separately, with examples, images, reference values and their interpretations. - Provides a quick and easy guide to understanding various neuromonitoring techniques - Presents information on each monitoring system, with examples, images, reference values and their interpretation - Useful for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanasthesia and neurology




Intraoperative Neurophysiological Monitoring


Book Description

The third edition of this classic text again provides practical, comprehensive coverage of the anatomical and physiological basis for intraoperative neurophysiological monitoring. Written by a leading authority in the field, Dr. Aage Moller has updated this important title to again offer all the leading-edge knowledge needed to perform electrophysiological recordings in the operating room, to interpret the results, and to present the results to the surgeon. The field known as "intraoperative monitoring" has expanded rapidly to cover other uses of neurophysiology and electrophysiologic recordings during surgical operations that affect the brain, spinal cord, and other parts of the nervous system. These new areas are covered in this new edition. To better represent the content of the book and the field as it now stands, many of the chapters have been revised and new material has been added. While the general organization of the book is maintained, chapters such as monitoring of motor systems have been revised and extended with new material, including more detailed description of the anatomy and physiology of motor systems and new information about intraoperative monitoring.




Monitoring the Central Nervous System


Book Description

This is the first book to cover in a single volume all aspects of monitoring the functions of the central nervous system during neurosurgery and in the intensive care unit. Since anaesthetics exert their principle effects on the central nervous system, it is of paramount importance that the functions of this system are adequately monitored. There are many books devoted to monitoring in anaesthesia in general. However, they concentrate on the autonomic functions such as heart rate, blood pressure, respiration etc., and often give very little information on central nervous system monitoring or the specialized needs of the neuroanaesthetist.




Intraoperative Neurophysiological Monitoring


Book Description

Intraoperative Neurophysiologic Monitoring, Second Edition, contains chapters related to the monitoring of the spinal motor system and deep brain stimulation have been added. The anatomical and physiological basis for these techniques are described in detail as are the practical aspects of such monitoring. Chapters on monitoring of sensory systems and monitoring in skull base surgery have been re-written as has the chapter on monitoring of peripheral nerves.




Intraoperative Neurophysiologic Monitoring


Book Description

Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.




Principles of Neurophysiological Assessment, Mapping, and Monitoring


Book Description

This book is a comprehensive, focused resource on intraoperative neurophysiological monitoring (IOM). This rapidly evolving field has created a demand for an up-to-date book such as this that builds on foundational concepts necessary to the practice of IOM in the context of anatomy and physiology. Each chapter is designed to not only inform the reader, but to also test the reader on the information presented - therefore promoting practical, problem-based learning. Surpassing the quality of its successful predecessor, Principles of Neurophysiological Assessment, Mapping, and Monitoring, Second Edition, is positioned to suit the needs of residents and fellows studying for the IOM certificate programs, physicians and anesthesiologists practicing IOM, and neurotechnologists both experienced and in training.




A Practical Approach to Neurophysiologic Intraoperative Monitoring


Book Description

A Practical Approach to Neurophysiologic Intraoperative Monitoring covers all aspects of neurophysiologic intraoperative monitoring (NIOM), which is increasingly being used to continuously assess the functional integrity of a patients nervous system during surgery. With training in NIOM seldom available in traditional programs, this book is the only practical source for essential information on the clinical practice of NIOM. The book is divided into two convenient sections: Section One, Basic Principles, covers the modalities used in monitoring as well as the rarely discussed topics of remote monitoring, billing, ethical issues, and a buyer's guide for setting up a laboratory. Section Two reviews anatomy, physiology, and surgery of the various procedures, followed by details of the monitoring modalities and their interpretive criteria. Special features include: Portability, easy to carry and use Includes all major types of surgeries for which NIOM is requested Information on buying, training, set-up, and billing that is not available anywhere else A unique technical section at the end of each chapter that reviews the logistics of monitoring a particular type of surgery Useful for trainees and experienced clinicians With wide use of bullet points, tables, and illustrations, this pocket-sized manual is essential reading for neurologists, neuroanesthesiologists, neurosurgeons, and OR techs.




Neurocritical Care Monitoring


Book Description

"I commend the editors for their careful perspective on the current state of neuromonitoring. The individual chapters provide excellent overviews of specific neuromonitoring tools and paradigms" -From the Foreword by J. Claude Hemphill III, MD, MAS, FNCS While damage resulting from a primary injury to the brain or spine may be unavoidable, harm from secondary processes that cause further deterioration is not. This practical, clinical resource describes the latest strategies for monitoring the brain after acute injury. With a focus on individualization of treatment, the book examines the role of various monitoring techniques in limiting disability and potentiating patient recovery during the acute phase of brain injury. International experts in diagnosis and treatment of secondary injury explain in detail the current utilization, benefits, nuances, and risks for each commercially available monitoring device as well as approaches vital to the care of brain and spine injured patients. They cover foundational strategies for neuromonitoring implementation and analysis, including proper catheter placement, duration of monitoring, and treatment thresholds that indicate the need for clinical intervention. The book also addresses multimodality monitoring and common programmatic challenges, and offers guidance on how to set up a successful multimodal monitoring protocol in the ICU. Also included is a chapter on the key role of nurses in neuromonitoring and effective bedside training for troubleshooting and proper execution of treatment protocols. Numerous illustrations provide further illumination. Key Features: Presents state-of-the-art neuromonitoring techniques and clinical protocols for assessment and treatment Emphasizes practical implementation for successful patient outcomes Written by international experts at the forefront of neurocritical care monitoring Provides a framework for practitioners who wish to individualize patient care with an emphasis upon the needs of the critically ill brain Discusses the key role of nurses in neuromonitoring and effective bedside training for management and troubleshooting of devices