A Concise Guide to Intraoperative Monitoring
Covering both the applications and the related theory, A Concise Guide to Intraoperative Monitoring provides a general but comprehensive introduction to IOM. Unlike existing texts that typically report the results of specific studies, this book presents comprehensive coverage of the entire procedure, as well as the specific protocols used in hospital practice, examples of typical recordings, possible problems, and recommended solutions. At the end of each chapter the author poses several...
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Covering both the applications and the related theory, A Concise Guide to Intraoperative Monitoring provides a general but comprehensive introduction to IOM. Unlike existing texts that typically report the results of specific studies, this book presents comprehensive coverage of the entire procedure, as well as the specific protocols used in hospital practice, examples of typical recordings, possible problems, and recommended solutions. At the end of each chapter the author poses several questions for review. These questions help technologists and medical residents in their preparation for the board exams. Taken together, these features make the book an ideal reference or training manual.A Concise Guide to Intraoperative Monitoring begins by discussing the basic principles underlying the generation of bioelectrical signals. It then describes the electronic equipment and the various electrophysiological procedures involved in IOM. From this foundation, the book gradually advances to more specific topics, such as surgical procedures, neuronal structures at risk, the optimum combinations of tests to administer, and the proper interpretation of test results. The material also provides you with a background on general anesthesia and analyzes the effects of various drugs on electrophysiological recordings. A Concise Guide to Intraoperative Monitoring also discusses the proper placement of stimulation and recording electrodes, as well as intervention strategies and equipment troubleshooting. Booknews Covers theory and applications of the use of intraoperative electrophysiological recordings to assess the functional integrity of the nervous system during surgery. Discusses procedures and protocols used in hospital settings, and gives examples of typical recordings, possible problems, and recommended solutions. Begins with basic principles underlying the generation of bioelectrical signals and description of equipment, then describes procedures, structures at risk, tests, and interpretation of test results. Includes review questions. The authors are affiliated with the department of neurosurgery at the University of Texas-Houston Medical School. Annotation c. Book News, Inc., Portland, OR (booknews.com)
LIST OF FIGURES LIST OF TABLES INTRODUCTION Intraoperative Monitoring Use Rationale Types of Tests Affecting Factors Interpretation Usefulness Cost Effectiveness Personnel Equipment Organization of the Book Review Questions NEUROPHYSIOLOGICAL BACKGROUND Organization of the Human Body Origin of Neurophysiological Signals Spontaneous Activity Evoked Responses INSTRUMENTATION Basic concepts Electrodes Types of Stimulation Electrodes Types of Recording Electrodes Amplifiers Differential Amplifiers Amplifier Characteristics ELECTROPHYSIOLOGICAL RECORDINGS Signal Characteristics Frequency Analysis Data Processing Data Display Data Storage ANESTHESIA MANAGEMENT Components of Anesthesia Efficacy of Anesthetics Inhalational Anesthetics Intravenous Anesthetics Neuroprotective Agents Protective Induced conditions Effects on Neurophysiological Signals SPONTANEOUS ACTIVITY Electroencephalogram Electromyogram EVOKED ACTIVITY Evoked Potentials Somatosensory Evoked Potentials DSEPs Brainstem Auditory Evoked Responses Visual Evoked Potentials Motor Evoked Potentials Triggered EMG SPINE SURGERY Spinal Deformities Disc Disease Spinal Fractures and Instabilities Tumors Vascular Abnormalities Tethered Cord Selective Dorsal Rhizotomy Peripheral Nerve Monitoring CRANIAL SURGERY Surgery for Tumor Removal Neurovascular Procedures Cranial Nerve Surgery Endarterectomy Neuroradiological Procedures Central sulcus Localizaion ARTIFACTS & TROUBLESHOOTING Efficacy of Monitoring Artifacts Precautions Troubleshooting Intervention The Wake-up Test CLOSING REMARKS REFERENCES FURTHER READING NOTE: Introduction and Review Questions start and end each chapter.
\ BooknewsCovers theory and applications of the use of intraoperative electrophysiological recordings to assess the functional integrity of the nervous system during surgery. Discusses procedures and protocols used in hospital settings, and gives examples of typical recordings, possible problems, and recommended solutions. Begins with basic principles underlying the generation of bioelectrical signals and description of equipment, then describes procedures, structures at risk, tests, and interpretation of test results. Includes review questions. The authors are affiliated with the department of neurosurgery at the University of Texas-Houston Medical School. Annotation c. Book News, Inc., Portland, OR (booknews.com)\ \
