Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures
Intraoperative neurophysiological monitoring (IOM) and especially motor evoked potentials represents an important tool in the evaluation of the nervous system integrity and particularly of the motor tracts. A real and correct registration of the potentials with a proper interpretation of the modific...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2020-12-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/1690 |
| _version_ | 1818886554086539264 |
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| author | Mihaela Coșman Andreea Atomei Nina Straticiuc Alexandru Caragea Mihai Soare Alina Mihaela Neacșu |
| author_facet | Mihaela Coșman Andreea Atomei Nina Straticiuc Alexandru Caragea Mihai Soare Alina Mihaela Neacșu |
| author_sort | Mihaela Coșman |
| collection | DOAJ |
| description | Intraoperative neurophysiological monitoring (IOM) and especially motor evoked potentials represents an important tool in the evaluation of the nervous system integrity and particularly of the motor tracts. A real and correct registration of the potentials with a proper interpretation of the modification is mandatory for an optimal outcome in eloquent areas, tumours, brainstem and medullary lesions. For all this to happen a suitable anaesthetic protocol must be used. Even though there is a large spectrum of anaesthetic agents at our disposal it is imperative to know their effect on the IOM signals recordings and the fact that some of them are dose-dependent. Drugs effects and physiological changes produced intraoperatively must be corrected before a shift in the direction of the surgical lesion resection it is taken. We present an overview of the action of the anaesthetic agents, most used protocols and the physiological alteration encountered in the operative theatre. |
| first_indexed | 2024-12-19T16:23:11Z |
| format | Article |
| id | doaj.art-2411d65c645b42ce8a632184f306e8bf |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-19T16:23:11Z |
| publishDate | 2020-12-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-2411d65c645b42ce8a632184f306e8bf2022-12-21T20:14:26ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592020-12-01344Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring proceduresMihaela CoșmanAndreea AtomeiNina StraticiucAlexandru CarageaMihai SoareAlina Mihaela NeacșuIntraoperative neurophysiological monitoring (IOM) and especially motor evoked potentials represents an important tool in the evaluation of the nervous system integrity and particularly of the motor tracts. A real and correct registration of the potentials with a proper interpretation of the modification is mandatory for an optimal outcome in eloquent areas, tumours, brainstem and medullary lesions. For all this to happen a suitable anaesthetic protocol must be used. Even though there is a large spectrum of anaesthetic agents at our disposal it is imperative to know their effect on the IOM signals recordings and the fact that some of them are dose-dependent. Drugs effects and physiological changes produced intraoperatively must be corrected before a shift in the direction of the surgical lesion resection it is taken. We present an overview of the action of the anaesthetic agents, most used protocols and the physiological alteration encountered in the operative theatre.http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/1690intraoperative neurophysiological monitoringmotor evoke potentialseloquent areaspropofolvolatile agentsintravenous anaesthesia |
| spellingShingle | Mihaela Coșman Andreea Atomei Nina Straticiuc Alexandru Caragea Mihai Soare Alina Mihaela Neacșu Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures Romanian Neurosurgery intraoperative neurophysiological monitoring motor evoke potentials eloquent areas propofol volatile agents intravenous anaesthesia |
| title | Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| title_full | Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| title_fullStr | Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| title_full_unstemmed | Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| title_short | Physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| title_sort | physiological alteration and anaesthetic drugs effects on intraoperative neurophysiological monitoring procedures |
| topic | intraoperative neurophysiological monitoring motor evoke potentials eloquent areas propofol volatile agents intravenous anaesthesia |
| url | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/1690 |
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