Intraoperative monitoring of motor evoked potentials using direct spinal cord stimulation and controlled neuromuscular blockade

1993 ◽  
Vol 87 (2) ◽  
pp. S104
Author(s):  
R.G. Emerson ◽  
D.C. Adams ◽  
E.J. Heyer
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Neuromuscular Blockade ◽  
Spinal Cord Stimulation ◽  
Intraoperative Monitoring ◽  
Motor Evoked Potentials

scholarly journals Transoesophageal spinal cord stimulation for motor-evoked potentials monitoring: feasibility, safety and stability

2014 ◽  
Vol 48 (2) ◽  
pp. 245-251 ◽  
Author(s):  
Kazumasa Tsuda ◽  
Norihiko Shiiya ◽  
Daisuke Takahashi ◽  
Kazuhiro Ohkura ◽  
Katsushi Yamashita ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Spinal Cord Stimulation ◽  
Motor Evoked Potentials ◽  
Safety And Stability

scholarly journals Bipolar transesophageal thoracic spinal cord stimulation: A novel clinically relevant method for motor-evoked potentials

2020 ◽  
Vol 4 ◽  
pp. 28-35
Author(s):  
Ken Yamanaka ◽  
Kazumasa Tsuda ◽  
Daisuke Takahashi ◽  
Naoki Washiyama ◽  
Katsushi Yamashita ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Spinal Cord Stimulation ◽  
Motor Evoked Potentials ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal

Safety Versus Efficacy of Spinal Cord Stimulation for the Generation of Motor-Evoked Potentials in the Rat

1991 ◽  
Vol 8 (1) ◽  
pp. 27-44 ◽  
Author(s):  
SHABETAY SABATO ◽  
CYNTHIA A. AGRESTA ◽  
GINA M. FREEMAN ◽  
STEVEN K. SALZMAN
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Spinal Cord Stimulation ◽  
Motor Evoked Potentials

Intraoperative monitoring

2016 ◽  
Author(s):  
Marc R. Nuwer
Keyword(s):  
Spinal Cord ◽  
Evoked Potentials ◽  
Operating Room ◽  
Intraoperative Monitoring ◽  
Motor Evoked Potentials ◽  
Neurological Injury ◽  
Neurophysiological Monitoring ◽  
Spinal Cord Monitoring ◽  
Neurological Outcomes ◽  
Anaesthesia Monitoring

Intraoperative monitoring and testing is conducted to improve neurological outcomes from surgery that incurs risk of neurological injury. Many techniques are familiar from the outpatient neurodiagnostic laboratory, and can be applied with minor modifications to the operating room setting. Other techniques are specific to the operating room. Transcranial electrical motor evoked potentials cannot be applied to awake patients, but are commonly used under general anaesthesia. Monitoring teams understand the tactics for obtaining quality recordings and calling alarms when potentials change past preset limits. Surgeons and anaesthesiologists have a variety of tactics for responding to adverse neurodiagnostic changes beginning with easy actions. In experienced hands, intraoperative neurophysiological monitoring substantially reduces post-operative deficits. For example, in spinal cord monitoring the risk of paraplegia and paraparesis is reduced by 60%. Monitoring is carried out by a technologist in the operating room under the supervision of an experienced neurophysiologist. In straightforward cases, the neurophysiologist may remotely monitor from outside the operating room.

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