By Aatif M. Husain MD
A pragmatic method of Neurophysiologic Intraoperative tracking covers all facets of neurophysiologic intraoperative tracking (NIOM), that's more and more getting used to always verify the sensible integrity of a sufferers frightened method in the course of surgical procedure. With education in NIOM seldom to be had in conventional courses, this ebook is the one functional resource for crucial details at the scientific perform of NIOM. The ebook is split into handy sections: part One, easy rules, covers the modalities utilized in tracking in addition to the infrequently mentioned themes of distant tracking, billing, moral concerns, and a buyer's consultant for developing a laboratory. part reports anatomy, body structure, and surgical procedure of some of the techniques, by means of info of the tracking modalities and their interpretive standards. exact gains comprise: Portability, effortless to hold and use contains all significant sorts of surgical procedures for which NIOM is asked info on deciding to buy, education, set-up, and billing that's not on hand anyplace else a distinct technical part on the finish of every bankruptcy that experiences the logistics of tracking a specific form of surgical procedure important for trainees and skilled clinicians Value-priced at $75.00! With huge use of bullet issues, tables, and illustrations, this pocket-sized guide is key analyzing for neurologists, neuroanesthesiologists, neurosurgeons, and OR techs. (20100503)
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Additional resources for A PRACTICAL APPROACH TO NEUROPHYSIOLOGIC INTRAOPERATIVE MONITORING
As a result, compressive nerve insults may yield variable EMG correlates if coincident ischemia blocks axonal depolarization. In addition, any source of neuromuscular dysfunction distal to the site of surgical irritation will reduce sensitivity from EMG monitoring and allow false-negative results. These include distal nerve compression or ischemia, distal neuropathy, limb ischemia, excessive neuromuscular junction blockade, or inexcitable myopathy. plexities involved with EMG monitoring. It is the monitoring team’s duty to identify the location, pattern, intensity, and duration of this activity and then communicate it to the surgeon when appropriate.
Cavitron Ultrasonic Surgical Aspirator Fluoroscopy The cavitron ultrasonic surgical aspirator (CUSA) is another device that uses sound waves to break down tissue, usually tumors. It is used in many different types of surgical procedures. At times it can produce an artifact that makes it difficult to average evoked potentials (EPs). Fluoroscopy, a type of x-ray system, is used in the operating room; its images can be visualized immediately without having to be processed. It is composed of at least two parts and, if needed, can be used with an injector for visualizing blood vessels.
If any abnormalities exist, these are identified and the surgeon is notified prior to the surgery. This process also allows for a greater degree of confidence in the baseline responses in the operating room. Husain 01 14 1/17/08 • 11:51 AM Page 14 SE C T I ON I : B a s i c P r i n c iple s In certain centers, patients may be screened for preoperative studies based on their medical history. Those with a higher likelihood of abnormal or absent responses may be candidates for preoperative studies.
A PRACTICAL APPROACH TO NEUROPHYSIOLOGIC INTRAOPERATIVE MONITORING by Aatif M. Husain MD