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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.
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, Ohio, USA. Marc R. Nuwer MD is Professor, Department of Neurology, David Geffin UCLA School of Medicine, and Department Head, Clinical Neurophysiology, Ronal 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, an Assistant Professor of Clinical Pediatrics and Clinical Neurology at The Ohio State University College of Medicine, Columbus, OH, USA, and a Consultant and Chief of Pediatric Neurology Hospital, Abu Dhabi, UAE.
Table of Contents
Introduction, history, and staffing for intraoperative monitoring
The preoperative assessment
The operating-room environment and team approach: pitfalls and technical factors
Basic pharmacology of anesthetic agents and 1 their effects on neurophysiological monitoring
Somatosensory evoked potential monitoring with scalp and cervical recording
Transcranial electric motor stimulation: technique and exclusionary criteria
Electrocorticography and intraoperative electroencephalography
Brainstem auditory evoked potential monitoring
Pedicle screw application and electromyographic recording
Cranial nerve monitoring
Peripheral nerve monitoring: basics and indications
Special considerations in pediatric surgical monitoring
Intraoperative neurophysiologic monitoring of vascular disorders
Selective dorsal rhizotomies: technique and protocol for monitoring
Interpreting and reporting the neurophysiologic data to the surgical team: how to do it and when it is indicated
Intraoperative wake-up test
Postoperative studies and outcomes: clinical indications and usefulness of a postoperative study
Table of Contents provided by Ingram. All Rights Reserved.