06376nam a22005895i 4500 978-3-031-46125-5 DE-He213 20251030112050.0 cr nn 008mamaa 240522s2024 sz | s |||| 0|eng d 9783031461255 978-3-031-46125-5 10.1007/978-3-031-46125-5 doi RD592.5-596 MNN bicssc MED085010 bisacsh MNN thema Intraoperative Neuromonitoring [electronic resource] : Fundamentals, Possibilities, Limitations / edited by Josef Zentner, David B. MacDonald, Celine Wegner. 1st ed. 2024. Cham : Springer International Publishing : Imprint: Springer, 2024. XXXIII, 227 p. 277 illus., 265 illus. in color. online resource. text txt rdacontent computer c rdamedia online resource cr rdacarrier text file PDF rda 1 Introduction: 1.1 Why neuromonitoring -- 1.2 Historical aspects -- 1.3 Monitoring concept -- 1.4 Monitoring team -- 2 Anatomical and Physiological Fundamentals: 2.1 Positional and directional designations -- 2.2 The nervous system -- 2.3 Musculoskeletal system: 2.4 Test questions -- 3 Measurement Technique: 3.1 Physical parameters -- 3.2 Stimulation -- 3.3 Signal acquisition -- 3.4 Test questions -- 4 Technical Accessoires: 4.1 Stimulation and recording electrodes -- 4.2 Special accessories -- 5 Modalities and Methods: 5.1 Electroencephalography (EEG) -- 5.2 Electromyography (EMG) -- 5.3 Electroneurography (ENG) -- 5.4 Evoked potentials (EP) -- 5.5 Functional-topographic mapping -- 5.6 Cranial nerves -- 5.7 Spinal nerves -- 5.8 Reflexes -- 5.9 Autonomic nervous system -- 5.10 Test questions -- 6 Perioperative Management: 6.1. Patient preparation -- 6.2. System preparation -- 6.3. General conduct rules in the operating room (OR) -- 6.4. Measurement processes -- 7 Anesthesia and IONM: 7.1 Effect of anesthetics on the nervous system -- 7.2 Anesthetics and electrophysiology -- 7.3 Awake craniotomy -- 7.4 Test questions -- 8 Application of Intraoperative Neuromonitoring: 8.1 Interpretation of the potential findings -- 8.2 IONM in Neurosurgery -- 8.3 IONM in Orthopedic surgery -- 8.4. IONM in Vascular surgery -- 8.5. IONM in General surgery -- 8.6 IONM in Otolaryngology -- 9 Efficiency of Intraoperative Neuromonitoring -- 10 Safety: 10.1 Introduction -- 10.2 Electrical safety -- 10.2.4 Fire -- 10.3 Procedure-specific safety -- 10.3.5 Other procedures -- 10.4 Infection control -- 10.5 Essential performance -- 10.6 Conclusions -- 10.7 Test questions -- 11 Troubleshooting -- 12 Addendum: 12.1 List of figures -- 12.2 List of tables -- 12.3 Glossary -- 12.4 Literature. Intraoperative neurophysiological monitoring (IONM) has gained increasing interest during the past decades and is now an integral part of various surgical disciplines, especially in neurosurgery, but also in otolaryngology, orthopedics, vascular surgery and general surgery. With expanding applications and evolving techniques, the monitoring team is faced with increasingly complex tasks and responsibilities. Despite its importance and significance in modern surgical medicine and the expectations associated with it, IONM is still not a regular part of the training program of medical professionals. Although knowledge on monitoring is imparted in basic courses offered by a few professional societies, systematic training of medical and non-medical staff according to a standardized curriculum is still lacking.This book aims to contribute to closing this gap. It provides a practical guide to help medical, nursing, and technical personnel get familiar with intraoperative neuromonitoring. The basic tenor is to combine theoretical and practical knowledge and thus to systematically convey essential skills about fundamentals, possibilities, but also limitations of IONM to a broad circle of readers. In order to achieve this goal, the text has been reduced to the absolutely necessary length in favor of numerous illustrations and tables. After an introduction to the tasks, the significance, and the historical development of IONM, the anatomical, physiological and physical basics are presented. This is followed by a presentation of various modalities as well as stimulation and recording techniques. The intraoperative part begins with some information on the organizational processes in the operating room, the presentation of safety aspects, and a description of the influences of anesthesia on monitoring, including the special aspects of awake surgery. This is followed by some basic remarks on the interpretation of monitoring results and a rough overview of the application fields of IONM in various disciplines including representative case examples. The manual concludes with an evaluation of the efficiency of monitoring and practical recommendations for the detection and elimination of intraoperative sources of error. Self-tests in individual chapters are intended to give readers the opportunity to determine their level of knowledge. Nervous system Surgery. 74689 Neurology . 66816 Otorhinolaryngology. 68385 Orthopedic surgery. 70126 Blood-vessels Surgery. 75965 Neurosurgery. 74691 Neurology. 66816 Otorhinolaryngology. 68385 Surgical Orthopedics. 70128 Vascular Surgery. 75966 Zentner, Josef. editor. edt http://id.loc.gov/vocabulary/relators/edt 77110 MacDonald, David B. editor. edt http://id.loc.gov/vocabulary/relators/edt 77111 Wegner, Celine. editor. edt http://id.loc.gov/vocabulary/relators/edt 77112 SpringerLink (Online service) Springer Nature eBook Printed edition: 9783031461248 Printed edition: 9783031461262 Printed edition: 9783031461279 https://doi.org/10.1007/978-3-031-46125-5 ZDB-2-SME ZDB-2-SXM 59986 59986