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Intraoperative neurophysiologic monitoring

Author: Gloria M Galloway
Publisher: Cambridge ; New York : Cambridge University Press, 2010.
Series: Cambridge medicine (Series)
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
"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  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Print version:
Intraoperative neurophysiologic monitoring.
Cambridge ; New York : Cambridge University Press, 2010
(DLC) 2010024614
(OCoLC)642278576
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Gloria M Galloway
ISBN: 9780511918896 0511918895 9780511916939 0511916930 9780511777950 0511777957
OCLC Number: 692197008
Description: 1 online resource (x, 241 pages) : illustrations (some color).
Contents: Cover --
Half-title --
Title --
Copyright --
Contents --
Preface --
Acknowledgments --
1 Introduction, history, and staffing for intraoperative monitoring --
History of monitoring --
Applications for intraoperative monitoring --
Physician supervision and the monitoring team --
Physician training and certification --
The technologists role and training --
Summary --
Questions --
References --
2 The preoperative assessment --
Medical, surgical, and anesthetic history --
Selection of modalities to be used during the operative procedure --
Monitoring of the brainstem --
Pedicle screw stimulation --
Upper extremity SEP (median or ulnar) --
Transcranial electrical motor stimulation (TES) --
Selective dorsal rhizotomy --
Selection of recording muscle groups --
Determination of relative contraindications to the use of TES --
Screening questionnaire for TES (developed at Nationwide Childrens Hospital, Columbus, Ohio) --
Questions --
References --
3 Magnetic stimulation --
Introduction --
Intraoperative monitoring of the corticospinal tracts --
Basic principles of magnetic stimulation --
Types of magnetic stimulators --
Single-pulse TMS --
Paired-pulse TMS device --
Triple and quadruple-pulse TMS devices --
Rapid-rate TMS (rTMS) --
Types and characteristics of TMS coils --
Circular coils --
Figure-of-eight coils --
Cap-shaped and cone coils --
TcES versus TMS --
Differences in the response to transcranial electrical or magnetic stimulation of the motor cortex --
The utility of TMS in NIOM --
Extraoperative uses of single-pulse TMS --
Questions --
References --
4 The operating-room environment and team approach: pitfalls and technical factors --
The NIOM team --
Anesthesia --
NIOM equipment --
The surgeon --
The operating room --
Safety in the operating room --
Questions --
References --
5 Basic pharmacology of anesthetic agents and their effects on neurophysiological monitoring --
Questions --
References --
6 Somatosensory evoked potential monitoring with scalp and cervical recording --
Techniques --
Stimulation --
Repetitions --
Sites --
Rate and intensity --
Recording --
Scouting and flexibility --
Site nomenclature --
Lower extremity SEP recording channels --
Upper extremity SEP recording channels --
Filters --
Peaks, generators, and baseline values --
Lower extremity peaks --
Upper extremity peaks --
Interpretation of changes, alarms, and considerations --
False results --
Outcomes for spinal surgery --
Intracranial monitoring --
Monitoring tactics --
Conclusions --
Questions --
References --
7 Transcranial electric motor stimulation: technique and exclusionary criteria --
Methods and background --
Clinical indications --
Risks of TES --
Effects of anesthetic and neuromuscular blocking agents on MEP responses --
Warning criteria and patterns of abnormality --
Conclusion --
Case examples for Chapter 7 --
Case 1 --
Case 2 --
Case 3 --
Questions --
References --
8 Electrocorticography and intraoperative electroencephalography --
Introduction --
Recording --
Scalp EEG --
Electrocorticography --
Stimulation --
Interpretation and testing protocols --
Electroencephalography --
Electrocorticography.
Series Title: Cambridge medicine (Series)
Responsibility: Gloria M. Galloway [and others].

Abstract:

A comprehensive clinical review of the current trends in intraoperative neurophysiology, suitable for trainees and neurophysiologists in practice.  Read more...

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