Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 103: Neuromonitoring with Drs. Ritzl and Russo
Jan 7, 2019
In this episode, Dr. Eva Ritzl and Dr. Alyson Russo discuss intraoperative neuromonitoring, including the techniques of INM and the measurements of evoked potentials. They explore factors affecting neuromonitoring signals, neural monitoring techniques in neurosurgical procedures, and the importance of teamwork and collaboration. The episode also touches on using a BIS monitor for depth of anesthesia monitoring during spine surgery.
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Neuromonitoring Explained
- Neuromonitoring uses electrical signals, mimicking the brain's natural communication.
- This tests nervous system integrity during surgery, especially in areas at risk.
Sensory vs. Motor Evoked Potentials
- Sensory evoked potentials (SSEPs) stimulate a nerve and record the brain's response.
- Motor evoked potentials (MEPs) stimulate the motor cortex and record muscle response.
Neuromonitoring's Anesthesia Benefits
- Use neuromonitoring to assess twitches and depth of anesthesia.
- This convenient tool aids anesthesiologists during procedures.