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What is Intraoperative monitoring?

21:59 - 4 May , 2021

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Using neurophysiology techniques, intraoperative monitoring aims to ensure that damage is not caused to the various structural components of the central and peripheral nervous systems while performing surgeries with a high risk of causing permanent injury. Therefore, in recent years, it has been established as an essential means for performing various kinds of surgeries that involve neurological aspects.

Through intraoperative neurophysiological monitoring, it is possible to timely detect neurological injuries, being a valuable support tool for surgeons when performing procedures with a very high risk of neurological damage that previously, without this monitoring, were impossible to perform, since it provides quality and safety to the doctor, as well as certainty and confidence to the patient. In addition, it can identify systemic failures during procedures. 

The neurophysiology techniques chosen to develop intraoperative monitoring depend on the type of surgery to be performed and the area where the lesion to be corrected is located, but the most used are: 

  • Electroencephalography.
  • Evoked potentials:
    • Somatosensory.
    • Motor.
    • Auditory.
  • Electromyography.

Among the multiple surgeries that use this technique, it has been adopted as essential in spine surgery, widely spreading its use with successful results.

At the Neurophysiology Clinic we have a highly trained multidisciplinary team and the cutting-edge technology necessary to perform this monitoring with the international quality standards of ABC Medical Center. 

At the Neurophysiology Clinic we are prepared to offer you the most advanced neurophysiological tests to diagnose the various pathologies that affect your nervous system, which represent a quantitative, reproducible, and generally non-invasive measure that enriches the neurological examination, providing an interaction platform and support in the diagnosis and treatment of neurologically affected patients.

The tests we perform include all the tools of a comprehensive neurophysiology service:

  • Electroencephalogram.
  • Electromyography.
  • Evoked potentials.
  • Outpatient polysomnography.
  • Hospital polysomnography.
  • Transcranial doppler.
  • Neuro-otology tests.
  • Otoacoustic emissions.
  • Intraoperative monitoring.
  • Magnetic stimulation.

Related centers and departments:

Fuentes: 

  • radiologyinfo.org
  • neurologia.com
  • cun.es
  • mayoclinic.org
  • medlineplus.gov
  • msdmanuals.com
  • medigraphic.com
  • Gutiérrez-Porras CL, Bustamante-Vidales JC, Álvarez-Reséndiz GE. Importancia del monitoreo neurofisiológico en la cirugía de columna. Rev Mex Anest. 2011;34(Suppl: 1):15-20.
  • De la Maza-Krzeptowsky LC, Romero-Esquiliano G, Ramírez-Segura EH, et al. Implementación del monitoreo neurofisiológico intraoperatorio en niños y adultos en el segundo y tercer nivel de atención. Cir Cir. 2018;86(2):132-139.
  • Rodríguez ACA, Collado OMÁ, Correa MLI. Monitoreo intraoperatorio multimodal y su aplicación en cirugía de nervios periféricos: ¿cuándo es de utilidad?. An Med Asoc Med Hosp ABC. 2016;61(2):123-131.
  • López-Rodríguez JJ. Monitoreo neurofisiológico intraoperatorio en cirugía de columna. Rev Mex Anest. 2017;40(Suppl: 1):31-32.

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