Neural Monitoring

Neural Monitoring
Author: Steven K. Salzman
Publisher: Springer Science & Business Media
Total Pages: 343
Release: 2012-12-06
Genre: Medical
ISBN: 1461204917

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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.

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery
Author: Joseph Scharpf
Publisher: Springer Nature
Total Pages: 214
Release: 2022-01-03
Genre: Medical
ISBN: 3030849163

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This book covers the scope of cranial nerve monitoring of all cranial nerves that are of practical importance in head, neck, and thyroid surgery. It discussed enhanced patient outcomes in a wide array of surgical procedures in the head and neck that require the maintenance of complex regional functions by protecting cranial nerve integrity. Organized into four parts, the book begins with Part I offering historical perspectives on the subject while simultaneously reviewing various basic and advanced electrophysiology. Part II thoroughly reviews the extra-temporal bone facial nerve (CN VII), Glossopharyngeal Nerve (CN IX), Vagal/Recurrent Laryngeal Nerve (CN X), Spinal Accessory Nerve (CN XI), and Hypoglossal Nerve (CN XII). Subsequent chapters in Part III provide a complete and applied understanding of the neurophysiological principles that facilitate the surgeon’s ability to monitor any nerve and intraoperative neural stimulation and nerve monitoring. The book presents various techniques as the standard of care to provide optimal neural detection, understand the neural functional real-time status during surgery and optimize specific surgical outcomes such as thyroid surgical outcomes. Closing chapters offer essential conversations regarding ethical considerations in nerve monitoring and medical malpractice. Filling a gap in the literature, Intraoperative Cranial Nerve Monitoring in Otolaryngology: Head and Neck Surgery provides a single source for surgeons who wish to optimize their outcomes in patient care and accelerate their learning curve to the level of more experienced surgeons.

Intraoperative Monitoring of Neural Function

Intraoperative Monitoring of Neural Function
Author: Marc R. Nuwer
Publisher:
Total Pages: 0
Release: 2008
Genre: Electroencephalography
ISBN: 9780444518248

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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

Neuromonitoring Techniques

Neuromonitoring Techniques
Author: Hemanshu Prabhakar
Publisher: Academic Press
Total Pages: 372
Release: 2017-11-13
Genre: Medical
ISBN: 012809916X

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Neuromonitoring Techniques: Quick Guide for Clinicians and Residents provides a quick and easy guide to understanding various neuromonitoring equipment. Chapters include intracranial pressure monitoring, EEG-based monitors, evoked potentials and transcranial doppler. This book is written for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanesthesia and neurology. As specialized neuromonitoring is now routinely done in neurosurgical cases, it provides an important resource for neurologists, neurophysiologists, anesthesiologists and residents who are expected to have theoretical and practical knowledge on different systems. Each monitoring system is discussed separately, with examples, images, reference values and their interpretations. Provides a quick and easy guide to understanding various neuromonitoring techniques Presents information on each monitoring system, with examples, images, reference values and their interpretation Useful for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanasthesia and neurology

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery
Author: Alexander L. Shifrin
Publisher: Springer Nature
Total Pages: 106
Release: 2023-07-03
Genre: Medical
ISBN: 3031246136

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This comprehensive atlas is the modern, state-of-the-art guide for intraoperative neurophysiologic monitoring (IONM) and management of the recurrent laryngeal nerve, vagus nerve and other cranial nerves at risk during thyroid, parathyroid and modified radical neck dissection surgery. Based on real-time electrophysiologic images, it will assist the surgeon in the decision-making process by incorporating important information related to the identification of the nerves and their functional status, aiding in the interpretation and improvement of the quality of neural monitoring and reducing inappropriate variations in monitoring technique. Utilization of IONM enables the surgeon to interrogate nerve anatomy and function with immediate quantitative feedback, thereby augmenting surgical training, and importantly, surgical skills and sound anatomic knowledge remain prerequisite and are not supplanted by IONM use. Authored by experts in the field, Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery will be the gold-standard text for IONM for endocrine surgeons, otolaryngology surgeons, neurophysiologists, and head and neck surgeons, as well as fellows and residents in these areas.

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring
Author: Christopher M. Loftus
Publisher: McGraw Hill Professional
Total Pages: 587
Release: 2014-01-03
Genre: Medical
ISBN: 0071792236

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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.

Intraoperative Neurophysiologic Monitoring

Intraoperative Neurophysiologic Monitoring
Author: Gloria M. Galloway
Publisher: Cambridge University Press
Total Pages: 257
Release: 2010-10-28
Genre: Medical
ISBN: 1139492748

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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.

Wireless Power Transfer and Data Communication for Intracranial Neural Recording Applications

Wireless Power Transfer and Data Communication for Intracranial Neural Recording Applications
Author: Kerim Türe
Publisher: Springer Nature
Total Pages: 119
Release: 2020-03-04
Genre: Technology & Engineering
ISBN: 3030408264

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This book describes new circuits and systems for implantable wireless neural monitoring systems and explains the design of a batteryless, remotely-powered implantable micro-system, designed for continuous neural monitoring. Following new trends in implantable biomedical applications, the authors demonstrate a system which is capable of efficient remote powering and reliable data communication. Novel architecture and design methodologies are used for low power and small area wireless communication link. Additionally, hermetically sealed packaging and in-vivo validation of the implantable device is presented.

Atlas of Endocrine Surgical Techniques

Atlas of Endocrine Surgical Techniques
Author: Quan-Yang Duh
Publisher: Elsevier Health Sciences
Total Pages: 255
Release: 2010-01-01
Genre: Medical
ISBN: 1416048448

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A title in the new Surgical Techniques Atlas series edited by Drs. Townsend and Evers, presents state-of-the-art updates on the full range of endocrine surgical techniques performed today. This book offers you expert advice on a variety of endocrine surgical techniques, including laparoscopic and endoscopic procedures to help you expand your repertoire and hone your clinical skills. Full-color illustrations and photographs enhance visual guidance.