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.




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.




Intraoperative Neuromonitoring


Book Description

Intraoperative Neuromonitoring takes you step by step through the proper protocols for measuring and mapping neural function, emphasizing the correct application of intraoperative recordings for improved surgical outcomes. You will learn how to utilize the very latest neuromonitoring tools, and familiarize yourself with the full range of topics pertaining to intraoperative monitoring in neurosurgery. The authors also present both common and lesser-known techniques for neural assessment, resulting in a stand-alone reference that helps you master any type of neuromonitoring for virtually every kind of procedure. The most complete, expert-authored intraoperative neuromonitoring resource, addressing the most current topics, tools, and techniques to enhance your skills. Logical five-part organization clearly explains must-know topics such as neuromonitoring during cerebrovascular surgery, mapping cerebral and brainstem function, neuromonitoring in spinal surgery peripheral nerve procedures, and more.




Intraoperative Neurophysiology


Book Description

Neurophysiologic intraoperative monitoring (IOM) neurologic monitoring during complex operative procedures is increasingly used to help prevent damage to the nervous system during surgery. Intraoperative Neurophysiology discusses all aspects of IOM with a hands- on approach to this challenging and exciting new frontier. Everything is covered from set-up, monitoring and mapping, troubleshooting, interpretation of results, and medical management. Interweaving contributions from neurologists and surgeons, the book presents a practical integrated blueprint for effective neurophysiological testing in the operating theater. Intraoperative Neurophysiology is visual and comprehensive in scope and coverage. It begins by reviewing basic neurophysiologic and neuroanatomic knowledge and presents detailed technical information on each basic test, providing the foundation necessary for choosing the right test and customizing monitoring and mapping according to the specifics of individual surgical procedures. Intraoperative Neurophysiology utilizes a unique structure to provide insights into successful monitoring practices and techniques. The book uses the steps of each surgical procedure as the skeleton upon which the IOM procedure is built, thereby presenting a developmental step-by-step approach to IOM procedures and the possible complications and pitfalls - that may arise at different moments of the surgery. In addition, it promotes and encourages the use of EEG in the operating room, and offers unprecedented coverage of ECoG, functional mapping, and EEG monitoring. With over 275 illustrations, numerous tables, and the most important clinical points made in writing and exemplified graphically, Intraoperative Neurophysiology: Monitoring and Mapping delivers in words and pictures everything one needs to know to master the art and science of intraoperative neurophysiologic procedure and reduce the operative risk of neurological damage in surgical patients.




Neurophysiology in Neurosurgery


Book Description

Over the last 18 years, there have been many advances in the field of intraoperative monitoring. This new edition of Neurophysiology in Neurosurgery: A Modern Approach provides updates on the original techniques, as well as other more recent methodologies that may either prove beneficial or are commonly used in neuromonitoring. The purpose of this book is to describe the integration of neuromonitoring with surgical procedures. Each methodology is discussed in detail as well as chapters describing how those methodologies are applied to multiple surgical procedures and the evidence used to support those uses. The second edition features a surgical procedure section, which focuses on specific surgical procedures and the type of monitoring used during these procedures. The original chapters have been updated, expanded, and the structure modified to ensure the book is beneficial to both physiologists and surgeons. This book is written for neurosurgeons, neurophysiologists, neurologists, anesthesiologists, interventional neuroradiologists, orthopedic surgeons, and plastic surgeons. - Provides a valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example - Presents in-depth descriptions of the most advanced techniques in intraoperative neurophysiological monitoring and mapping - Features a surgical procedures section that focuses on specific surgical procedures and the type of monitoring used during these procedures




The Basics of Intra-Operative Neurophysiological Monitoring for the Clinician


Book Description

Intra-operative neuromonitoring (IONM) refers to a diverse and evolving collection of techniques used to provide real-time assurance of neurological integrity during surgery. Most frequently utilised during neurosurgical procedures, the use of IONM has increased dramatically over recent years, and there is an ongoing need for structured and accessible information in its principles, implementation and interpretation. This dynamic book provides a practical overview of IONM, in simple language and clearly illustrated. Uniquely, it is authored by experienced multidisciplinary clinicians affiliated to Kingâ (TM)s College Hospital NHS Foundation Trust, a regional neurosciences centre in London, UK. Combining the expertise of anaesthetists, physiologists, surgeons and patients themselves, this guide represents an invaluable source of information for all staff and trainees involved in the pre-, intra- and postoperative care of patients undergoing IONM.




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




Illustrated Manual of Clinical Evoked Potentials


Book Description

Evoked potentials have been used for decades to assess neurologic function in outpatient studies and are now routinely used in the operating room during surgery. Illustrated Manual of Clinical Evoked Potentials is a modern, practical guide to performing these studies and interpreting the results. The book is uniquely organized as a singular resource that provides the necessary background for understanding and conducting evoked potential studies. It functions as a multi-purpose text, atlas, and reading session, with numerous examples of studies and findings and discussion of key takeaways. Divided into five chapters, the book opens with an introduction to the basics of data acquisition and interpretation that lays the foundation for the modality-specific chapters that follow. The next group of chapters are in-depth reviews of visual, brainstem auditory, and somatosensory evoked potentials. Each of these chapters lays out the specifics of the modality and study protocol with examples to show how things should—and should not—be done. Sample studies with discussions about how to interpret them highlight a particular aspect of normalcy or pathology. Imaging correlates are provided to emphasize salient points and offer perspective. The final chapter is an overview of the use of evoked potentials during surgery with imaging and case discussions to introduce the reader to this very important application. Key Features Detailed review of methodology of evoked potential studies Many examples of actual patient studies with imaging correlates Interpretation of each evoked potential study presented in detail “Reading session”-like discussion of each example Special chapter on evoked potentials in the operating room




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.