{"title":"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","authors":"Praveen Ramasamy, Sathya Narayanan K, Premkumar Damodaran","doi":"10.18231/j.ijca.2024.017","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 86","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Intra-operative neurophysiological monitoring (IONM) & its role in neurosurgeries: An exceedingly essential monitoring technique\",\"authors\":\"Praveen Ramasamy, Sathya Narayanan K, Premkumar Damodaran\",\"doi\":\"10.18231/j.ijca.2024.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":13310,\"journal\":{\"name\":\"Indian Journal of Clinical Anaesthesia\",\"volume\":\" 86\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Clinical Anaesthesia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18231/j.ijca.2024.017\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Clinical Anaesthesia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18231/j.ijca.2024.017","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.