Download A Practical Approach to Neurophysiologic Intraoperative by Aatif M. Husain PDF

March 28, 2017 | Medicine | By admin | 0 Comments

By Aatif M. Husain

A useful method of Neurophysiologic Intraoperative Monitoring covers all facets of neurophysiologic intraoperative tracking (NIOM), that's more and more getting used to consistently check the useful integrity of a sufferer s apprehensive procedure in the course of surgical procedure. With education in NIOM seldom on hand in conventional courses, this ebook is the single useful resource for crucial details at the medical perform of NIOM.
The ebook is split into handy sections: part One, easy ideas, covers the modalities utilized in tracking in addition to the hardly mentioned subject matters of distant tracking, billing, moral matters, and a patron s advisor for developing a laboratory. part experiences anatomy, body structure, and surgical procedure of many of the strategies, by way of info of the tracking modalities and their interpretive standards.
Special beneficial properties include:
• Portability: effortless to hold and use
• contains all significant forms of surgical procedures for which NIOM is requested
• info on procuring, education, set-up, and billing that isn't on hand at any place else
• a distinct technical part on the finish of every bankruptcy that studies the logistics of tracking a selected kind of surgery
• necessary for trainees and skilled clinicians

With extensive use of bullet issues, tables, and illustrations, this guide is vital analyzing for neurologists, neuroanesthesiologists, neurosurgeons, and OR techs.

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Extra resources for A Practical Approach to Neurophysiologic Intraoperative Monitoring

Example text

Needle electrodes are for a single use only and should be disposed of in a sharps container. Surface electrodes may be reused and should be cleaned and disinfected using the individual laboratory’s protocol. ETIQUETTE AND PROTOCOL As is true when one goes into any new environment, going into the operating room requires knowledge of etiquettes and protocols that are specific to the operating room. The monitoring technologist should familiarize himself or herself with these etiquettes and protocols so that the surgery can be helped to move along faster.

Such reflexive mechanisms are not well described in the EMG monitoring literature; however, a clear correlation of EMG activity to surgical activity, even when not in the expected myotomes, should trigger suspicion of a causative role. Number of MUPs Each distinct MUP represents a separate depolarizing axon. Thus, greater numbers of axons affected by any irritative source will result in larger numbers of distinct MUPs recorded and a greater intensity of recorded EMG activity. Firing Rate The rate at which MUPs fire correlates to the degree of irritation, with higher rates indicating a greater degrees of irritation.

Grounding The patient will have an electrical ground through the electrocautery system. An additional ground will be necessary for NIOM only if the monitoring equipment requires it as a system reference. Personal Protective Equipment Personal protective equipment is worn by the monitoring technologist and other personnel in the operating room. If a CO2 laser is in use, everyone in the operating room should wear proper goggles to protect their eyes. When overhead ultraviolet (UV) lights are in use, a visor or plastic goggles should be worn to protect against UV light.

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