Intraoperative Neurophysiologic Monitoring

Intraoperative Neurophysiologic Monitoring

By: Marc R. Nuwer (author), Khaled M. Zamel (author), Gloria M. Galloway (author), Jaime R. Lopez (author)Hardback

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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.

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About Author

Gloria M. Galloway MD is Director of the Evoked Potential Monitoring Program at Nationwide Children's Hospital and a Professor of Clinical Neurology and Clinical Pediatrics at the Ohio State University College of Medicine, OH, USA. Marc R. Nuwer is Professor, Department of Neurology, David Geffin UCLA School of Medicine and Department Head, Clinical Neurophysiology, Ronald Reagan UCLA Medical Center, Los Angeles, USA. Jaime R. Lopez MD is Associate Professor, Department of Neurology and Neurological Sciences, Stanford School of Medicine, Stanford, CA, USA. Khaled M. Zamel MD is an attending physician at Nationwide Children's Hospital and an Assistant Professor of Clinical Pediatrics and Clinical Neurology at the Ohio State University College of Medicine, Columbus, OH, USA.


Preface; 1. Introduction, history, and staffing for intraoperative monitoring; 2. The preoperative assessment; 3. Magnetic stimulation; 4. The operating room environment and team approach: pitfalls and technical factors; 5. Basic pharmacology of anesthetic agents and their effects on neurophysiological monitoring; 6. Somatosensory evoked potential monitoring with scalp and cervical recording; 7. Transcranial electric motor stimulation: technique and exclusionary criteria; 8. Electrocorticography and intraoperative electroencephalography; 9. Brainstem auditory evoked potential monitoring; 10. Pedicle screw application and electromyographic recording; 11. Cranial nerve monitoring; 12. Peripheral nerve monitoring: basics and indications; 13. Special consideration in pediatric surgical monitoring; 14. Intraoperative neurophysiologic monitoring of vascular disorders; 15. Selective dorsal rhizotomies: technique and protocol for monitoring; 16. Interpreting and reporting the neurophysiological data to the surgical team: how to do it and when is it indicated?; 17. Intraoperative wake-up test; 18. Postoperative studies and outcomes: clinical indications and usefulness of a postoperative study; Index.

Product Details

  • publication date: 28/10/2010
  • ISBN13: 9780521518031
  • Format: Hardback
  • Number Of Pages: 252
  • ID: 9780521518031
  • weight: 740
  • ISBN10: 0521518032

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