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While standard intraoperative monitoring gives your surgeon and anesthesiologist a good picture of the status of your heart and lungs during your surgery, it is more difficult for them to tell if there is anything  going wrong with your nervous system. For surgeries which may place these organs at risk such as those that decompress the spinal cord, remove abnormal brain tissue, or involve the blood supply to the nervous system, intraoperative neuromonitoring is invaluable to help minimize risk during surgery.  Among the techniques used in surgical neurophysiology are methods for measuring the minute electrical signals that arise from nerves or muscle activity that is related to nerve irritation, lack of localized oxygen or tissue damage. Other techniques involving infrared light Doppler ultrasonography may also be used.

 

Neurophysiologic monitoring involves an assortment of monitoring techniques which may be requested by your surgeon to obtain knowledge of the function of your nervous system and other organs at various points during your surgery. This type of monitoring may involve the recording of brain waves produced in response to various stimuli including applying electrical pulses to the nerves, flashes of light to the eyes, and clicks of sound to the ears.  Muscles are also monitored for electrical activity that might suggest irritation or injury to the nerves supplying them. These procedures have been applied in thousands of surgeries without side effects. They  provide your surgeon with insight as to the condition of the nervous system throughout the surgical procedure.  Your surgical neurophysiologist when working with the nurse, surgeon and anesthesiologist completes the surgical team.

 


Benefits:

Surgical neurophysiology provides a unique measure of safety during the surgical procedure that may not be obtained by other means.   Surgical neurophysiology can help in preventing serious injury to the spinal cord, brain or peripheral nerves - organs that are at risk during many types of surgery.

Risks:

The goal of neurophysiologic monitoring is to reduce risk, but needle electrodes used in these procedures may cause droplets of blood or bruises to form and surface electrodes may cause chafing or irritation.  There is also a remote but real chance of infection occurring and the placement of electrodes increases the risk of electrical burns occurring at the electrode sites.  Additionally, muscle contractions occurring during the procedures can cause injury. 

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Suite # 76
Davis, CA 95616

Ph:  (800) 305-6234

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Home • About IONM • For Patients • For Surgeons • ADI Careers • Contact/Billing