A Practical Approach to Neurophysiologic Intraoperative by Aatif M. Husain MD

By Aatif M. Husain MD

"This e-book is a superb reference for trainees and skilled tracking technologists in addition to physicians, anesthesia pros, and neurophysiologists. It offers in-depth insurance of each element of tracking in 3 easy-to-read and -comprehend sections... total, it is a precious reference for any individual within the box of IOM, from trainees to skilled humans. there's rather a lot facts during this publication that you may simply study anything new from it simply by starting the e-book. it truly is a vital reference for any establishment providing IOM services."

--Donna Jacobs, R. EEG T., CNIM, The Neurodiagnostic Journal

"The moment variation of A sensible method of Neurophysiologic Intraoperative Monitoring can functionality as either a tutorial handbook and a daily advisor to the myriad events encountered in NIOM. the amount is offered in any respect degrees of ability and coaching, serving as either an access aspect for brand spanking new practitioners and a reference handbook for skilled ones, making this an important e-book for the NIOM library."

--Jessica Nance, division of Neurology, Johns Hopkins medical institution, Journal of Pediatric Epilepsy

"Because of its direct medical functions, this can be a stable buy for any neurological and neurosurgical library."

-- Doody's Reviews

"I would definitely suggest [this ebook] to any technologist who displays within the working room."

-- American magazine of Electroneurodiagnostic Technology

This is a basic source for physicians, technologists, and different health and wellbeing execs who have to collect state of the art abilities in neurophysiologic intraoperative tracking (NIOM). It covers simple points of tracking, describes the medical and technical standards for tracking particular varieties of surgical procedures, and addresses the executive features of working an NIOM service.

The moment variation has been up to date to include the colossal quantity of recent details and strategies that experience developed because the book of the 1st variation. This contains increased assurance of every of the modalities utilized in tracking (SEP, MEP, BAEP, EEG, and EMG) that are now mentioned in person chapters, education curriculum for neurophysiologists and technologists, rules and strategies for NIOM labs, and accreditation and certification. New purposes and medical strategies are interwoven all through, and there's a thoroughly new bankruptcy at the use of NIOM in move issues surgery.

Of worth to practitioners at any point of expertise, the e-book is now divided into 3 sections. the 1st part, easy rules, introduces the reader to the working room atmosphere, anesthetic concerns, and many of the tracking modalities. the second one part, medical equipment, reports using NIOM in particular sorts of surgical procedures. a lot of those chapters are co-written by way of a neurophysiologist and technologist and current an summary of the actual surgical procedure, suitable anatomy, tracking modalities, facts interpretation, caution standards and technical issues. a special 3rd part, Administrative concerns, has been further to this version to handle technical facets of NIOM machines, distant tracking, billing, moral and felony concerns, and coaching specifications for physicians and technologists. the ultimate chapters are dedicated to establishing and preserving an NIOM provider and contain pattern rules and procedures.

Key Features:

  • Provides a wealth of present details on NIOM for daily case management
  • Covers all modalities and useful purposes of NIOM for particular surgeries
  • Contains specified info on education, setup, billing, apparatus, lab protocols, and operating a service
  • Appeals to NIOM services at each level
  • Combines the views of physicians and technologists who jointly writer surgical chapters

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Additional resources for A Practical Approach to Neurophysiologic Intraoperative Monitoring, Second Edition

Sample text

Edinburgh: Churchill Livingstone, 2000:17–50. 3. AORN. Recommended practices for perioperative nursing: section 3. In: Fogg D, ed. Standards, Recommended Practices, and Guidelines. Denver: AORN, 2004:209–399. • 19 4. MacDonald DB. Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J Clin Neurophysiol 2002;19:416–429. 5. Nuwer MR. Regulatory and medical-legal aspects of intraoperative monitoring. J Clin Neurophysiol 2002;19:387–395. Husain 01 1/17/08 11:51 AM Page 20 Husain 02 1/17/08 11:52 AM 2 Page 21 Basic Neurophysiologic Intraoperative Monitoring Techniques Robert E.

4). 1 An electrocautery machine. 2 Example of artifact caused by electrocautery. This was seen when tibial somatosensory evoked potentials were being averaged. 3 A cardiopulmonary bypass machine. This machine can also be used to administer anesthetic agents and other drugs as well as for inducing hypothermia. 4 An operating surgical microscope. During surgery, this microscope will be draped with sterile sheets. the microscope moving in and out of the field. There is rarely an artifact problem related to the microscope.

3). Motor Nerve Conduction Studies for Purposes Other than Pedicle Screw Evaluation Motor nerve conduction studies may be used in a variety of settings where motor nerves are accessible to the surgeon and potentially at risk of injury. In these cases, the surgeon will directly stimulate nerves of interest and motor responses recorded in the corresponding muscle. This technique may assess the continuity and function of nerves from the point of stimulation to the muscle and can explore whether neural structures are in or near an area of proposed resection or electrocautery.

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