Adjustment of intraoperative monitoring methods and equipment requirements

Abstract

Intraoperative neuromonitoring is increasingly used in surgical interventions as a way to reduce the amount of nerve damage during surgical interventions. The safety of intraoperative neurological function can now be assessed in real time using non-stop monitoring. In operations on the head and neck, there is a risk of damage to the functionally important motor nerve branches: the facial nerve, the vagus nerve, the accessory nerve and the hyoid. The vagus nerve. These complications are not uncommon in surgery and often have a negative impact on the subsequent quality of life of the patient and limit his ability to work. The most common surgical procedure is for thyroid diseases, in which the recurrent laryngeal nerve is at risk of being affected and has great functional importance in the formation of the voice. The anatomical localisation of CAH is variable and, in addition, it can be a difficult pathological process to detect. A common practice in endocrine surgery is to visually search for CAH during surgery [1], but detection is not always possible. Repeated manipulation greatly increases the risk of motor nerve damage [2]. Motor numbness (temporary, transient) or numbness (permanent, permanent) can occur depending on the degree of postoperative damage. The risk of unintentional damage to the motor nerves during surgery depends on the skills and experience of the surgeon, knowledge of surgical anatomy and the underlying embryology of the surgical organ. The number of surgeons using neurophysiological monitoring to achieve Optimal Neurological Interventions is steadily increasing. Indeed, in many neurosurgical and cranial based surgeries the use of monitoring is considered standard. over the last 30 years. Technologies facilitating the routine use of these valuable techniques monitoring has been significantly improved. Future developments such as wireless connection to main monitoring unit/amplifier averaging computer can reduce the effect of 60 electrical cycles interference in the operating room. Monitoring should be used when practically necessary. Ultimately, if you can get better results. There are many reasons for using neurophysiological monitoring which makes its use justified.