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E-grāmata: Intraoperative Neurophysiology: A Comprehensive Guide to Monitoring and Mapping

  • Formāts: 184 pages
  • Izdošanas datums: 11-Dec-2009
  • Izdevniecība: Demos Medical Publishing
  • Valoda: eng
  • ISBN-13: 9781935281627
  • Formāts - PDF+DRM
  • Cena: 169,05 €*
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  • Formāts: 184 pages
  • Izdošanas datums: 11-Dec-2009
  • Izdevniecība: Demos Medical Publishing
  • Valoda: eng
  • ISBN-13: 9781935281627

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Neurophysiologic intraoperative monitoring (IOM) and neurologic monitoring during complex operative procedures is increasingly used to help prevent damage to the nervous system during surgery. Intraoperative Neurophysiology discusses all aspects of IOM with a hands-on approach to this challenging and exciting new frontier. Everything is covered from set-up, monitoring and mapping, troubleshooting, interpretation of results and medical management. Interweaving contributions from Neurologists and Surgeons, the book presents a practical integrated blueprint for effective neurophysiological testing in the operating theatre.

Intraoperative Neurophysiology is visual and comprehensive in scope and coverage. It begins by reviewing basic neurophysiologic and neuroanatomic knowledge and presents detailed technical information on each basic test, providing the foundation necessary for choosing the right test and customising monitoring and mapping according to the specifics of individual surgical procedures.

Intraoperative Neurophysiology utilises a unique structure to provide insights into successful monitoring practises and techniques. The book uses the steps of each surgical procedure as the skeleton upon which the IOM procedure is built, thereby presenting a developmental step-by-step approach to IOM procedures and the possible complications and pitfalls - that may arise at different moments of the surgery. In addition, it promotes and encourages the use of EEG in the operating room and offers unprecedented coverage of ECoG, functional mapping and EEG monitoring.

With over 275 illustrations, numerous tables and the most important clinical points made in writing and exemplified graphically, Intraoperative Neurophysiology: A Comprehensive Guide to Monitoring and Mapping delivers in words and pictures everything one needs to know to master the art and science of intraoperative neurophysiologic procedure and reduce the operative risk of neurological damage in surgical patients.
Preface xi
Acknowledgments xiii
Contributors xv
Neurophysiologic Tests Used in the Operating Room
1(46)
Mirela V. Simon
Introduction
1(1)
Electroencephalogram (EEG)
1(4)
Short-latency Somatosensory Evoked Potentials (SSEPs)
5(11)
Motor Evoked Potentials (MEPs)
16(11)
Free-Run and Triggered EMG (fEMG and CMAPs)
27(6)
Nerve-to-Nerve or Nerve Action Potentials (NAPs) Recordings
33(4)
Brainstem Auditory Evoked Potentials (BAEPs)
37(4)
Combinations of Tests
41(1)
Safety Issues
42(5)
References
44(3)
EEG Monitoring During Carotid Endarterectomy
47(48)
Mirela V. Simon
Keith H. Chiappa
Introduction
47(1)
Principles of Monitoring CEAs
47(19)
Methods
66(6)
Interpretation
72(23)
References
91(4)
Electrocorticography
95(36)
Mirela V. Simon
Jason L. Gerrard
Emad N. Eskandar
Introduction
95(1)
Historical Perspective
95(1)
The Controversial Role of ECoG in Epilepsy Surgery
96(2)
Indications
98(17)
Methodology
115(2)
Interpretation
117(7)
Anesthesia Considerations
124(3)
Concluding Remarks
127(4)
References
127(4)
Functional Cortical Mapping
131(46)
Mirela V. Simon
Donald C. Shields
Emad N. Eskandar
Introduction
131(1)
Surgical Preparation
132(1)
Sensorimotor Mapping
133(16)
Language Mapping
149(6)
Cortical Mapping Threshold Variability
155(2)
ECoG During Functional Mapping
157(16)
Anesthesia Considerations
173(1)
Conclusions
173(4)
References
173(4)
Intraoperative Neurophysiologic Monitoring and Mapping of the Spinal Cord
177(90)
Mirela V. Simon
Lawrence Borges
Erin S. Hart
Brian E. Grottkau
Michael A. Pec
Mark F. Conrad
Intramedullary Spinal Cord Tumor Resection
177(1)
Introduction
177(1)
The Role of Intraoperative Neurophysiology
177(1)
A Historical Perspective
178(1)
Intraoperative Neurophysiologic Monitoring
179(30)
References
207(2)
Decompressive Surgery of the Spine
209(1)
Introduction
209(1)
Intraoperative Neurophysiologic Monitoring: A Step-By-Step Approach
210(13)
References
220(3)
Spine Deformity Surgery
223(1)
Introduction
223(1)
Surgical Indications
224(1)
The Nuts and Bolts of Deformity Surgery
224(1)
The Role of Intraoperative Neurophysiology
225(1)
Intraoperative Neurophysiologic Monitoring: A Step-By-Step Approach
226(8)
Conclusion
234(3)
References
234(3)
Thoracoabdominal Aneurysm Repair
237(1)
Introduction
237(1)
The Vascularization of the Spinal Cord
237(3)
Operative Techniques: Preventing Acute Spinal Cord Ischemia
240(21)
Delayed Neurologic Events and Surgical Outcomes
261(1)
Conclusion
262(5)
References
263(4)
Peripheral Nerve Surgery
267(32)
Jean-Valerie C. E. Coumans
Mirela V. Simon
Jason S. Cooper
Jonathan M. Winograd
Introduction
267(1)
Surgery at the Level of the Cauda Equina and Nerve Root
268(11)
Nerve Tumor Surgery
279(5)
Never Injury Surgery
284(13)
Anesthesia Considerations
297(2)
References
297(2)
Intraoperative Neurophysiologic Monitoring of the Cranial Nerves and Brainstem
299(26)
Wael F. Asaad
Mirela V. Simon
Emad N. Eskandar
Introduction
299(2)
Midbrain
301(2)
Pons
303(14)
Medulla
317(4)
Anesthesia Considerations
321(1)
Conclusions
321(4)
References
321(4)
The Effects of Anesthetics on Intraoperative Neurophysiology Studies
325(10)
Mirela V. Simon
Introduction
325(1)
Benzodiazepines
325(1)
Barbiturates
326(1)
Propofol
326(1)
Narcotics
327(1)
Inhalational Agents
328(1)
Etomidate
329(1)
Ketamine
329(1)
Dexmedetomidine
330(1)
Muscle Relaxants
330(2)
Effects on Peripheral Nervous System and Cranial Nerve Monitoring
332(3)
References
332(3)
Index 335
Director, Intraoperative Neurophysiology Monitoring Unit, Massachusetts General Hospital, and Department of Neurology, Harvard Medical School, Boston, Massachusetts