By Aimee Becker, Deborah A. Rusy (auth.), Antoun Koht, Tod B. Sloan, J. Richard Toleikis (eds.)
Written and edited by means of notable global specialists, this is often the 1st moveable, single-source quantity on intraoperative neurophysiological tracking (IOM). it really is aimed toward all contributors of the operative group – anesthesiologists, technologists, neurophysiologists, surgeons, and nurses.
Now common in systems that position the worried approach in danger, corresponding to orthopedics, neurosurgery, otologic surgical procedure, vascular surgical procedure, and others, potent IOM calls for an strangely excessive measure of coordination between participants of the operative crew. the aim of the publication is to aid crew contributors gather a greater realizing of 1 another’s roles and thereby to enhance the standard of care and sufferer protection.
• Concise and thorough
• finished assurance of tracking concepts, from deep mind stimulation to cortical mapping
• Synoptic assurance of anesthetic administration basics
• 23 case-based examples of tactics, together with surgical procedure of the aortic arch, ENT and anterior neck surgical procedure, intracranial aneurysm clipping, and interventional neuroradiology
• tracking within the ICU and of cerebral blood flow
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Additional info for Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals
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This includes both deleterious and augmentative effects on SSEPs. Inhalational Anesthetics Halogenated inhalational agents produce a dose-related reduction in amplitude and increase in latency of SSEPs. This SSEP decrement is more pronounced for cortical recordings than subcortical, spinal, or peripheral recordings. [1, 4, 15]. Nitrous oxide decreases cortical SSEP amplitude and increases latency . This effect is synergistic with halogenated inhalational agents and most intravenous anesthetics [1, 4, 15, 17].
Borrissov B, Langeron O, Lille F, et al. Combination of propofol-sufentanil on somatosensory evoked potentials in surgery of the spine. Ann Francaises d Anesth et de Reanimation. 1995;14:326–30. 30. Kalkman CJ, Traast H, Zuurmond WW, Bovill JG. Differential effects of propofol and nitrous oxide on posterior tibial nerve somatosensory cortical evoked potentials during alfentanil anaesthesia. Br J Anaesth. 1991; 66:483–9. 31. Laureau E, Marciniak B, Hèbrard A, Herbaux B, Guieu JD. Comparative study of propofol and midazolam effects on somatosensory evoked potentials during surgical treatment of scoliosis.