Intraoperative Monitoring Of Neural Function

This second edition devotes almost 1000 pages to IOM. The first section covers basic science aspects to understand the generation of electro-physiologic signals and the anatomic structures involved. Then it follows a detailed description of ALL the techniques currently available. The last part covers the different types of surgical procedures where IOM may be needed

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.

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.

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.

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.

This book provides foundational knowledge of intraoperative monitoring (IOM) and is written for the range of clinicians who monitor the function of the nervous system during surgery, from new technologists to neurophysiologists and neurosurgeons. Early chapters describe the building blocks of IOM in accessible terms and are followed by practical chapters on monitoring and mapping that show basic and clinical science “in action”. Anesthesiologists and trainees with an interest in diagnosing and managing pain will appreciate the inclusion of chapters on the electrophysiological assessment of spinal cord pathology and on the treatment of pain. Principles of Neurophysiological Assessment, Mapping, and Monitoring is designed for use as a text in academic courses or in corporate training programs. It also provides a concise refresher for experienced clinicians and for physicians, neurophysiologists, and technologists preparing for board exams.

“Because of its direct clinical applications, this is a good purchase for any neurological and neurosurgical library.” – Doody’s Reviews “I would certainly recommend [this book] to any technologist who monitors in the operating room.” – American Journal of Electroneurodiagnostic Technology This is a fundamental resource for physicians, technologists, and other health professionals who need to acquire state-of-the-art skills in neurophysiologic intraoperative monitoring (NIOM). It covers basic aspects of monitoring, describes the clinical and technical requirements for monitoring specific types of surgeries, and addresses the administrative aspects of running an NIOM service. The second edition has been updated to incorporate the vast amount of new information and techniques that have evolved since the publication of the first edition. This includes expanded coverage of each of the modalities used in monitoring (SEP, MEP, BAEP, EEG, and EMG) which are now discussed in individual chapters, training curriculum for neurophysiologists and technologists, policies and procedures for NIOM labs, and accreditation and certification. New applications and clinical innovations are interwoven throughout, and there is a completely new chapter on the use of NIOM in movement disorders surgery. Of value to practitioners at any level of experience, the book is now divided into three sections. The first section, Basic Principles, introduces the reader to the operating room environment, anesthetic considerations, and the various monitoring modalities. The second section, Clinical Methods, reviews the use of NIOM in specific types of surgeries. Many of these chapters are co-written by a neurophysiologist and technologist and present an overview of the particular surgery, relevant anatomy, monitoring modalities, data interpretation, warning criteria and technical considerations. A unique third section, Administrative Issues, has been added to this edition to address technical aspects of NIOM machines, remote monitoring, billing, ethical and legal issues, and training requirements for physicians and technologists. The final two chapters are devoted to setting up and maintaining an NIOM service and include sample policies and procedures. Key Features: Provides a wealth of current information on NIOM for day-to-day case management Covers all modalities and practical applications of NIOM for specific surgeries Contains detailed information on training, setup, billing, equipment, lab protocols, and running a service Appeals to NIOM providers at every level Combines the perspectives of physicians and technologists who together author surgical chapters

The symposium from which this book originates represents a sig nificant watershed in the field of intraoperative neural monitoring, since the participants concluded that electrophysiologic monitoring techniques should be considered a "standard of care" for surgical pro cedures that place the central nervous system (CNS) at risk for injury. Specifically, it was agreed that the somatosensory-evoked potential (SEP) is a remarkably reliable and sensitive indicator of several aspects of CNS function, and should be routinely employed as an intraopera tive monitor during many neurosurgical and orthopedic procedures. The significance of this conclusion cannot be overstated, for at the time of this writing, intraoperative monitoring methods based on evoked-potential analyses are still considered experimental and are not in routine use. The reasons for this are not clear, given the accu mulation of literature and expertise on this subject over the past five years. Granted, the cost of electrophysiological monitoring equip ment is high, but only initially. The benefits of injury prevention far outweigh these costs, from both medical and economic viewpoints. It is our sincere hope and goal that the medical community be made aware of the value of intraoperative neural monitoring.