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Neuromonitoring Techniques by Hemanshu Prabhakar Pdf
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
Author : Christopher M. Loftus,Jose Biller,Eli Baron Publisher : McGraw Hill Professional Page : 587 pages File Size : 55,6 Mb Release : 2014-01-03 Category : Medical ISBN : 9780071792233
Intraoperative Neuromonitoring by Christopher M. Loftus,Jose Biller,Eli Baron Pdf
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 Neuromonitoring by Josef Zentner,David B. MacDonald,Celine Wegner Pdf
Intraoperative neurophysiological monitoring (IONM) has gained increasing interest during the past decades and is now an integral part of various surgical disciplines, especially in neurosurgery, but also in otolaryngology, orthopedics, vascular surgery and general surgery. With expanding applications and evolving techniques, the monitoring team is faced with increasingly complex tasks and responsibilities. Despite its importance and significance in modern surgical medicine and the expectations associated with it, IONM is still not a regular part of the training program of medical professionals. Although knowledge on monitoring is imparted in basic courses offered by a few professional societies, systematic training of medical and non-medical staff according to a standardized curriculum is still lacking.This book aims to contribute to closing this gap. It provides a practical guide to help medical, nursing, and technical personnel get familiar with intraoperative neuromonitoring. The basic tenor is to combine theoretical and practical knowledge and thus to systematically convey essential skills about fundamentals, possibilities, but also limitations of IONM to a broad circle of readers. In order to achieve this goal, the text has been reduced to the absolutely necessary length in favor of numerous illustrations and tables. After an introduction to the tasks, the significance, and the historical development of IONM, the anatomical, physiological and physical basics are presented. This is followed by a presentation of various modalities as well as stimulation and recording techniques. The intraoperative part begins with some information on the organizational processes in the operating room, the presentation of safety aspects, and a description of the influences of anesthesia on monitoring, including the special aspects of awake surgery. This is followed by some basic remarks on the interpretation of monitoring results and a rough overview of the application fields of IONM in various disciplines including representative case examples. The manual concludes with an evaluation of the efficiency of monitoring and practical recommendations for the detection and elimination of intraoperative sources of error. Self-tests in individual chapters are intended to give readers the opportunity to determine their level of knowledge.
A Practical Approach to Neurophysiologic Intraoperative Monitoring, Second Edition by Aatif M. Husain, MD Pdf
“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
Neurocritical Care Monitoring by Chad M. Miller, MD,Michel T. Torbey, MD Pdf
"I commend the editors for their careful perspective on the current state of neuromonitoring. The individual chapters provide excellent overviews of specific neuromonitoring tools and paradigms" -From the Foreword by J. Claude Hemphill III, MD, MAS, FNCS While damage resulting from a primary injury to the brain or spine may be unavoidable, harm from secondary processes that cause further deterioration is not. This practical, clinical resource describes the latest strategies for monitoring the brain after acute injury. With a focus on individualization of treatment, the book examines the role of various monitoring techniques in limiting disability and potentiating patient recovery during the acute phase of brain injury. International experts in diagnosis and treatment of secondary injury explain in detail the current utilization, benefits, nuances, and risks for each commercially available monitoring device as well as approaches vital to the care of brain and spine injured patients. They cover foundational strategies for neuromonitoring implementation and analysis, including proper catheter placement, duration of monitoring, and treatment thresholds that indicate the need for clinical intervention. The book also addresses multimodality monitoring and common programmatic challenges, and offers guidance on how to set up a successful multimodal monitoring protocol in the ICU. Also included is a chapter on the key role of nurses in neuromonitoring and effective bedside training for troubleshooting and proper execution of treatment protocols. Numerous illustrations provide further illumination. Key Features: Presents state-of-the-art neuromonitoring techniques and clinical protocols for assessment and treatment Emphasizes practical implementation for successful patient outcomes Written by international experts at the forefront of neurocritical care monitoring Provides a framework for practitioners who wish to individualize patient care with an emphasis upon the needs of the critically ill brain Discusses the key role of nurses in neuromonitoring and effective bedside training for management and troubleshooting of devices
Neurophysiology in Neurosurgery by Vedran Deletis,Jay L. Shils,Francesco Sala,Kathleen Seidel Pdf
Over the last 18 years, there have been many advances in the field of intraoperative monitoring. This new edition of Neurophysiology in Neurosurgery: A Modern Approach provides updates on the original techniques, as well as other more recent methodologies that may either prove beneficial or are commonly used in neuromonitoring. The purpose of this book is to describe the integration of neuromonitoring with surgical procedures. Each methodology is discussed in detail as well as chapters describing how those methodologies are applied to multiple surgical procedures and the evidence used to support those uses. The second edition features a surgical procedure section, which focuses on specific surgical procedures and the type of monitoring used during these procedures. The original chapters have been updated, expanded, and the structure modified to ensure the book is beneficial to both physiologists and surgeons. This book is written for neurosurgeons, neurophysiologists, neurologists, anesthesiologists, interventional neuroradiologists, orthopedic surgeons, and plastic surgeons. Provides a valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example Presents in-depth descriptions of the most advanced techniques in intraoperative neurophysiological monitoring and mapping Features a surgical procedures section that focuses on specific surgical procedures and the type of monitoring used during these procedures
The Basics of Intra-Operative Neurophysiological Monitoring for the Clinician by Chulananda Goonasekera,Emma-Jane Smith Pdf
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 King’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.
Neurophysiology in Neurosurgery by Vedran Deletis,Jay Shils Pdf
Through real-time assessments of how the patient's nervous system is functioning throughout a surgical procedure, Neurophysiology in Neurosurgery presents vital techniques to guide surgeons in their efforts to minimize the risks of unintentional damage to healthy nervous tissue. This book provides a comprehensive overview of the most up-to-date intraoperative neurophysiological techniques and guidelines for the managment of neuroanesthesia during MEP monitoring. Neurophysiology in Neurosurgery is a valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example. A valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example Provides in-depth descriptions of the most advanced techniques in intraoperative neurophysiological monitoring and guidelines for the management of neuroanesthesia during MEP monitoring
Intraoperative Neurophysiological Monitoring by Aage R. Møller Pdf
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.
The Basics of Intra-Operative Neurophysiological Monitoring for the Clinician by Chulananda Goonasekera,Emma-Jane Smith Pdf
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.
Intraoperative Neurophysiological Mapping of the Brain. This book is a quick reference guide to anyone who is interested in the intraoperative neurophysiological concepts and technical details of sensory, motor, and language mapping during brain surgeries. These chapters are separated for sensory mapping, cortical and subcortical mapping, and language mapping techniques. You will find the stimulation and recording parameters as well.
Gloria M. Galloway,Marc R. Nuwer,Jaime R. Lopez,Khaled M. Zamel
Author : Gloria M. Galloway,Marc R. Nuwer,Jaime R. Lopez,Khaled M. Zamel Publisher : Cambridge University Press Page : 257 pages File Size : 41,6 Mb Release : 2010-10-28 Category : Medical ISBN : 9781139492744
Intraoperative Neurophysiologic Monitoring by Gloria M. Galloway,Marc R. Nuwer,Jaime R. Lopez,Khaled M. Zamel Pdf
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.
Intraoperative Neuromonitoring by Marc R. Nuwer,David B. MacDonald Pdf
Interoperative Monitoring, Volume 186 provides a concise overview of advances in interoperative monitoring targeted for clinical neurologists. It identifies techniques (EEG, ECoG, EMG, etc.), optimal anesthesia for use, safety issues to be considered, and then discusses advances as they relate to intracranial, spinal, peripheral nerve and vascular surgery. Best practices and case studies are included for all chapters as well as surgical microscope views, illustrations, and medical imaging. Identifies the best techniques for specific surgeries with details that include case studies Covers intracranial, spinal, peripheral nerve and vascular surgeries Specifies optimal anesthesia for use Addresses safety issues to be considered Utilizes surgical microscope views, illustrations and medical imaging
Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals by Antoun Koht,Tod B. Sloan,J. Richard Toleikis Pdf
Written and edited by outstanding world experts, this is the first portable, single-source volume on intraoperative neurophysiological monitoring (IOM). It is aimed at all members of the operative team – anesthesiologists, technologists, neurophysiologists, surgeons, and nurses. Now commonplace in procedures that place the nervous system at risk, such as orthopedics, neurosurgery, otologic surgery, vascular surgery, and others, effective IOM requires an unusually high degree of coordination among members of the operative team. The purpose of the book is to help team members acquire a better understanding of one another’s roles and thereby to improve the quality of care and patient safety. • Concise and thorough • Comprehensive coverage of monitoring techniques, from deep brain stimulation to cortical mapping • Synoptic coverage of anesthetic management basics • 23 case-based examples of procedures, including surgery of the aortic arch, ENT and anterior neck surgery, intracranial aneurysm clipping, and interventional neuroradiology • Monitoring in the ICU and of cerebral blood flow
