Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system
Introduction: the introduction of new technologies in the medical field brings great benefits for the health of patients with nervous system conditions, where neuromonitoring plays an important role Objective: to describe the methods of intraoperative neuromonitoring, its application and benefits....
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de Pinar del Río
2020-02-01
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| Series: | Universidad Médica Pinareña |
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| Online Access: | http://revgaleno.sld.cu/index.php/ump/article/view/392 |
| _version_ | 1797713061116641280 |
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| author | Evelio José Guillén-Cánovas Lázaro Pablo Linares-Cánovas Yeni de la Caridad Romero-Valdés |
| author_facet | Evelio José Guillén-Cánovas Lázaro Pablo Linares-Cánovas Yeni de la Caridad Romero-Valdés |
| author_sort | Evelio José Guillén-Cánovas |
| collection | DOAJ |
| description | Introduction: the introduction of new technologies in the medical field brings great benefits for the health of patients with nervous system conditions, where neuromonitoring plays an important role
Objective: to describe the methods of intraoperative neuromonitoring, its application and benefits.
Method: a bibliographic search was carried out in the databases of Web of Science, Scopus, SciELO, Dialnet and AmeliCA. Thirty articles were selected regarding the different modalities of intraoperative neuromonitoring, its application, benefits and anesthetic and non-anesthetic factors that influence its effectiveness.
Development: Intraoperative neuromonitoring has emerged as a powerful tool for the study of nerve functions during surgery. Among its modalities is electroencephalogram, electroneuromyography, evoked potentials (somatosensory, visual, motor and auditory of the brainstem) and intraoperative cortical and subcortical stimulation. The drugs used, as well as factors associated with hemodynamics and hemostasis affect their efficacy and interpretation of these tests. Intraoperative neuromonitoring allows real-time detection of functional and structural alterations, reducing complications and improving the patient's quality of life.
Conclusions: the use of intraoperative neuromonitoring provides great advantages to the surgical team during the performance of procedures by offering real-time information on the functional integrity of the nervous structures involved in the procedure. This allows reducing the occurrence of complications, damage or injury. Pharmacological and hemodynamic variables must be controlled to achieve better neuromonitoring efficiency, which translates into improvements for the patient's quality of life. |
| first_indexed | 2024-03-12T07:30:56Z |
| format | Article |
| id | doaj.art-203a5ff5de894d5e96fc72ef5fb45cb4 |
| institution | Directory Open Access Journal |
| issn | 1990-7990 |
| language | English |
| last_indexed | 2024-03-12T07:30:56Z |
| publishDate | 2020-02-01 |
| publisher | Universidad de Ciencias Médicas de Pinar del Río |
| record_format | Article |
| series | Universidad Médica Pinareña |
| spelling | doaj.art-203a5ff5de894d5e96fc72ef5fb45cb42023-09-02T21:48:26ZengUniversidad de Ciencias Médicas de Pinar del RíoUniversidad Médica Pinareña1990-79902020-02-01161429Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous systemEvelio José Guillén-Cánovas0Lázaro Pablo Linares-Cánovas1Yeni de la Caridad Romero-Valdés2Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”Universidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”Universidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”Introduction: the introduction of new technologies in the medical field brings great benefits for the health of patients with nervous system conditions, where neuromonitoring plays an important role Objective: to describe the methods of intraoperative neuromonitoring, its application and benefits. Method: a bibliographic search was carried out in the databases of Web of Science, Scopus, SciELO, Dialnet and AmeliCA. Thirty articles were selected regarding the different modalities of intraoperative neuromonitoring, its application, benefits and anesthetic and non-anesthetic factors that influence its effectiveness. Development: Intraoperative neuromonitoring has emerged as a powerful tool for the study of nerve functions during surgery. Among its modalities is electroencephalogram, electroneuromyography, evoked potentials (somatosensory, visual, motor and auditory of the brainstem) and intraoperative cortical and subcortical stimulation. The drugs used, as well as factors associated with hemodynamics and hemostasis affect their efficacy and interpretation of these tests. Intraoperative neuromonitoring allows real-time detection of functional and structural alterations, reducing complications and improving the patient's quality of life. Conclusions: the use of intraoperative neuromonitoring provides great advantages to the surgical team during the performance of procedures by offering real-time information on the functional integrity of the nervous structures involved in the procedure. This allows reducing the occurrence of complications, damage or injury. Pharmacological and hemodynamic variables must be controlled to achieve better neuromonitoring efficiency, which translates into improvements for the patient's quality of life.http://revgaleno.sld.cu/index.php/ump/article/view/392monitoreomonitoreo fisiológicomonitoreo intraoperatoriosistema nerviosofenómenos fisiológicos del sistema nerviosocirugíatejido nervioso |
| spellingShingle | Evelio José Guillén-Cánovas Lázaro Pablo Linares-Cánovas Yeni de la Caridad Romero-Valdés Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system Universidad Médica Pinareña monitoreo monitoreo fisiológico monitoreo intraoperatorio sistema nervioso fenómenos fisiológicos del sistema nervioso cirugía tejido nervioso |
| title | Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| title_full | Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| title_fullStr | Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| title_full_unstemmed | Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| title_short | Intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| title_sort | intraoperative neuromonitoring in the management of patients with conditions associated with the nervous system |
| topic | monitoreo monitoreo fisiológico monitoreo intraoperatorio sistema nervioso fenómenos fisiológicos del sistema nervioso cirugía tejido nervioso |
| url | http://revgaleno.sld.cu/index.php/ump/article/view/392 |
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