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Title Koht, Sloan, Toleikis's monitoring the nervous system for anesthesiologists and other health care professionals / Christoph N. Seubert, Jeffrey R. Balzer, editors
Edition 3rd ed
Published Cham : Springer, 2023


Description 1 online resource (744 p.)
Contents Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- Part I: Monitoring Techniques -- 1: Somatosensory-Evoked Potentials -- Introduction -- Anatomy and Vascular Supply -- Methods -- Stimulation -- Recording -- Intraoperative Variables Affecting SSEPS: Pharmacology and Physiology -- Inhalational Anesthetics -- Intravenous Anesthetics -- Temperature -- Tissue Perfusion -- Oxygenation/Ventilation -- Intracranial Pressure -- Other Physiologic Variables -- Criteria for Intervention During Intraoperative SSEP Monitoring -- Dorsal Column Mapping
Other Intraoperative Applications for SSEPs -- References -- 2: Transcranial Motor-Evoked Potentials -- Introduction -- Anatomy of the MEP Response -- Technical Aspects of MEP Monitoring -- Optimizing Compound Muscle Action Potential -- Patient Characteristics Contributing to Outcomes -- Effect of Anesthesia Management -- Outcomes -- Conclusion -- References -- 3: Auditory-Evoked Potentials -- Anatomy of the Auditory System -- Conduction of Auditory Signals from Ear to Cochlea -- Neural Components of the Auditory System and Electrical Generators Along the Auditory Pathway
Cochlea: Electrocochleogram -- Auditory Pathway from Cochlear Nerve to Midbrain -- Auditory Brainstem-Evoked Responses and Cochlear Nerve Compound Action Potential -- Primary Auditory Cortex: Mid-Latency Auditory-Evoked Potentials -- Vascular Supply of Auditory Pathway Structures -- Techniques for Recording Auditory-Evoked Potentials -- Stimulation -- Electrocochleogram -- Compound Nerve Action Potentials from the Cochlear Nerve -- Brainstem Auditory-Evoked Potentials -- MLAEPs -- Anesthetic and Physiologic Considerations for Monitoring of Auditory Brainstem Responses -- ABR Alarm Criteria
ERG Recordings and Analyses -- F-VEP Recordings and Analyses -- Warning Criteria -- Warning Criteria for ERGs -- Warning Criteria for F-VEPs -- Other Intraoperative Applications with ERG and F-VEP: Cardiovascular Surgeries, Deep Brain Stimulation -- Direct Electrical Stimulation of Visual Pathway -- Effects of Temperature -- Effects of Anesthesia on ERGs -- Effects of Anesthesia on F-VEPs -- Conclusion -- References -- 5: Deep Brain Stimulation -- Introduction -- Surgery -- Microelectrode Recording (MER) -- Complications -- Asleep vs. Awake Surgery -- The MER Procedure
Summary As a single-source volume on intraoperative neurophysiological monitoring (IOM), previous editions of this celebrated resource amounted to a mission statement from the pioneer generation in intraoperative neurophysiology, converting insights, techniques, and perspectives into tools providing clinical utility for the assessment of the nervous system in patients who could not be assessed by a standard neurological examination. Now directed by a new generation of experts, this thoroughly illustrated Third Edition is updated with new case material, images, videos, practice guidelines, references, and technologies, and is intended for those who encounter IOM in the operating room and intensive care unit, including anesthesiologists, technologists, neurophysiologists, surgeons, and nurses, as well as graduate students and trainees. Offering topical, applicable information, this accessible reference and teaching tool provides practical knowledge to help students, trainees, and team members better understand one anothers roles, thereby improving patient safety and care
Bibliography References -- 4: Visual-Evoked Potentials -- Introduction -- Flash Electroretinogram (F-ERG) -- Flash Visual-Evoked Potentials (F-VEPs) -- Introduction of the Intraoperative Monitoring of the Visual System: Orbital Surgeries -- Identified Sources of Intraoperative Variations in F-VEPs -- Recognition of a Reliable Monitoring of Vision -- Anatomy and Physiology of the Visual System -- Realization of Intraoperative Electroretinogram (ERG) and Flash Visual-Evoked Potentials (F-VEPs) -- Intraoperative ERG -- Intraoperative F-VEP -- Devices for Flash Stimulation -- Characteristics of Stimulation Light
Notes Target Structures for the Case Examples
Includes index
Online resource; title from PDF title page (SpringerLink, viewed December 16, 2022)
Subject Neurophysiologic monitoring.
Nervous system -- Surgery.
Monitoring, Intraoperative -- methods
Surgical Procedures, Operative -- methods
Anesthesia -- methods
Nervous System Physiological Phenomena
Trauma, Nervous System -- prevention & control
Neurophysiologic monitoring
Form Electronic book
Author Seubert, Christoph N
Balzer, Jeffrey R
ISBN 9783031097195
Other Titles Monitoring the nervous system for anesthesiologists and other health care professionals