术中神经电生理监测(IONM)及其在神经外科手术中的作用:极其重要的监测技术

Praveen Ramasamy, Sathya Narayanan K, Premkumar Damodaran
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引用次数: 0

摘要

对于需要确定神经功能的神经外科手术来说,平衡麻醉和术中神经监测(IONM)是一个理想的选择。神经外科手术的最佳目标包括维持体温正常、血液动力学参数和失血量。神经电生理监测包括但不限于来自运动区和躯体感觉区的诱发电位,已成为神经外科手术中防止神经损伤和瘫痪不可或缺的工具。本病例介绍了在使用 IONM 的椎板切除术中的麻醉注意事项。麻醉师必须充分了解 IONM,以避免麻醉造成的干扰和信号改变。因此,麻醉师、外科医生和神经电生理学家之间需要适当的团队合作,以提供高质量的围手术期护理,并检测和预防神经损伤。
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Intra-operative neurophysiological monitoring (IONM) & its role in neurosurgeries: An exceedingly essential monitoring technique
Balanced anaesthesia with intra-operative neuro monitoring (IONM) is an ideal choice for neurosurgeries wherein the functionalities of nerve has to be ascertained. The optimum goals during neurosurgeries include maintaining normothermia, hemodynamic parameters and blood loss. Neurophysiological monitoring consisting but not limited to evoked potentials originating from motor, somatosensory areas has become an indispensable tool in neurosurgeries to prevent nerve injuries and paralysis. This case describes the anaesthesia considerations in a case of laminectomy where IONM was used. The anaesthesiologist must have adequate knowledge regarding IONM to avoid interference and signal alteration due to anaesthesia. Hence, a proper teamwork is required between the anaesthesiologist, surgeon and neurophysiologist in order to provide a high-quality perioperative care and to detect and prevent neurological injuries.
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