Practical Approach to Neurophysiologic Intraoperative Monitoring.
Title:
Practical Approach to Neurophysiologic Intraoperative Monitoring.
Author:
Husain, Aatif M.
ISBN:
9781617051791
Personal Author:
Edition:
2nd ed.
Physical Description:
1 online resource (447 pages)
Contents:
Cover -- Title -- Copyright -- Contents -- Contributors -- Preface -- Share A Practical Approach to Neurophysiologic Intraoperative Monitoring: Second Edition -- I: Basic Principles -- Chapter 1: Introduction to the Operating Room -- Aseptic Technique -- Personnel -- Equipment -- Preparation and Planning -- Safety -- Etiquette and Follow-Up -- Documentation -- References -- Chapter 2: Somatosensory Evoked Potentials -- Clinical Anatomy -- Methodology -- Clinical Applications -- Shortcomings -- Acknowledgment -- References -- Chapter 3: Motor Evoked Potentials -- Clinical Anatomy -- Methodology -- Clinical Applications -- Shortcomings and Safety Issues -- References -- Chapter 4: Brainstem Auditory Evoked Potentials -- The Baep Waveform -- Clinical Anatomy -- Methodology -- Clinical Applications -- Shortcomings -- References -- Chapter 5: Electroencephalography -- Clinical Anatomy and Physiology -- Methodology -- Shortcomings -- References -- Chapter 6: Electromyography -- Clinical Anatomy -- Methodology -- Clinical Applications -- Shortcomings -- References -- Chapter 7: Anesthetic Considerations -- Principles of Anesthesia -- Nonpharmacologic Factors -- Effects of Specific Anesthetic Agents -- Anesthetic Techniques -- References -- II: Clinical Methods -- Chapter 8: Vertebral Column Surgery -- Clinical Anatomy -- Pathology and Pathophysiology -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Interpretation and Warning Criteria -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 9: Spinal Cord Surgery -- Clinical Anatomy -- Pathology: Spinal Cord Tumors -- Symptoms and Diagnostic Evaluation -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm.
Utility of Neurophysiologic Intraoperative Monitoring -- Technical Considerations -- References -- Chapter 10: Lumbosacral Surgery -- Anatomy and Pathophysiology -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- References -- Chapter 11: Tethered Cord Surgery -- Anatomy -- Pathophysiology -- Symptoms -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring in Tethered Cord Syndrome Surgery -- Proposed Paradigm for Neurophysiologic Intraoperative Monitoring in Tethered Cord Syndrome Surgery -- Technical Considerations -- Future Directions -- References -- Chapter 12: Selective Dorsal Rhizotomy -- Clinical Anatomy -- Pathology/Pathophysiology -- Symptoms -- Surgical Considerations and Neurophysiologic Intraoperative Monitoring -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 13: Peripheral Nerve Surgery -- Clinical Anatomy -- Pathophysiology -- Symptoms -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- References -- Chapter 14: Cerebellopontine Angle Surgery-Microvascular Decompression -- Clinical Syndromes -- Surgical Techniques -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- References -- Chapter 15: Cerebellopontine Angle Surgery-CPA Tumors -- Anatomy -- Pathology/Pathophysiology -- Symptoms -- Surgical Considerations.
Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 16: Brainstem Surgery -- Clinical Anatomy -- Pathology/Pathophysiology -- Symptoms -- Surgical Consideration -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 17: Aortic Surgery -- Clinical Anatomy -- Pathology and Pathophysiology -- Symptoms -- Surgical Treatment -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 18: Carotid and Intracranial Vascular Surgery -- Clinical Anatomy -- Pathology/Pathophysiology -- Symptoms -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- References -- Chapter 19: Epilepsy Surgery and Brain Mapping -- Anatomy and Physiology -- Pathology -- Symptoms -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Evidence of Usefulness -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations -- Future Directions -- References -- Chapter 20: Movement Disorders Surgery -- Clinical Anatomy -- Pathology/Pathophysiology -- Symptoms -- Surgical Considerations -- Neurophysiologic Intraoperative Monitoring Paradigm -- Utility of Neurophysiologic Intraoperative Monitoring -- Proposed Neurophysiologic Intraoperative Monitoring Paradigm -- Technical Considerations.
Future Directions -- References -- III: Administrative Issues -- Chapter 21: Technical Guide to NIOM Machines -- Historical Overview -- Basics of the Neurophysiologic Intraoperative Monitoring Machine -- Attended Versus Automated Monitoring Devices -- References -- Chapter 22: Training Curriculum for NIOM -- Background -- Education and Training -- Certification -- The Future of Training and Education -- References -- Chapter 23: Remote Monitoring -- Background -- Remote Connection Techniques -- Remote Neurophysiologic Intraoperative Monitoring Solutions -- Reference -- Chapter 24: Coding, Billing and Ethical Issues -- Coding and Billing -- Staffing -- Medical-Legal Issues -- References -- Chapter 25: Legal Issues -- Elements of Medical Malpractice Lawsuits -- Determining the Applicable Standard of Care -- Informed Consent -- The Hospital's Responsibility and Liability -- Three Distinct Components of NIOM -- Consistent Delivery Model -- Remote Monitoring -- Supervision -- Drafting the Service Agreement for Outsourced NIOM Services -- Review of Existing Case Law -- Risks and Risk Management -- References -- Chapter 26: Policies and Procedures for an NIOM Laboratory -- Policies and Procedures Overview -- Principles of Practice -- Quality -- Communication and Documentation -- Patient Safety -- Bibliography -- Index.
Abstract:
This book fills a much-needed niche in NIOM and is a valuable addition to the library of those specialties and a useful tool for practitioners. The book will be a frequently referenced textbook for all professionals in NIOM, who will find this book invaluable. By referencing to the book, I believe that neurophysiology trainees and technologists will gain much insight into the operation of NIOM; surgeons and anesthesiologists will appreciate what the NIOM may offer in improving surgical outcomes; and the laboratory managers will find materials that will help them set up laboratory policies, procedures and protocols." -- Jin Jun Luo, MD, PhD, FAAN, FAANEM, Temple University, Journal of Neurology & Neurophysiology. Praise for the First Edition:. "[T]he book addresses the main targets in neuromonitoring, including somatosensory evoked potentials, EEG, and other technologies that have recently become available that helped neurosurgeons perform safer operations, with a lower incidence of morbidity and mortality. 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 a 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 a NIOM service and include sample policies and procedures. New to the Second Edition: Completely rewritten and updated--provides the latest information on new techniques and advances in the use of NIOM; Features expanded coverage of NIOM modalities and an entirely new chapter on movement disorders surgery; New "Administrative Issues" section collects practical information not found elsewhere such as training curriculum, policies and procedures for NIOM labs, and accreditation and certification information. 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.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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Electronic Access:
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