Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center
Background: The purpose of intraoperative neuro-monitoring (IONM) is to minimize injury to eloquent neural structures and optimize tumor resection. Method: We explored the utility of IONM using a qualitative approach in a single center. Eight experienced users of its use in spinal and cranial surger...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=1;spage=7;epage=13;aulast=Goonasekera |
| _version_ | 1819119526207291392 |
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| author | Chulananda Goonasekera Holly Jones Rebekah Lawrence John Hanrahan Priyanka Iyer Aditi Nijhawan |
| author_facet | Chulananda Goonasekera Holly Jones Rebekah Lawrence John Hanrahan Priyanka Iyer Aditi Nijhawan |
| author_sort | Chulananda Goonasekera |
| collection | DOAJ |
| description | Background: The purpose of intraoperative neuro-monitoring (IONM) is to minimize injury to eloquent neural structures and optimize tumor resection.
Method: We explored the utility of IONM using a qualitative approach in a single center. Eight experienced users of its use in spinal and cranial surgery in adults and children were the informants. Using a constant comparative method, the findings were collated by thematic analysis.
Results: The user perspective is that of caution to minimize adverse effects whilst empowering the need for formal training to enhance its efficacy. The process of IONM needs standardization as practices vary amongst users. Most users expressed limited trust on its current capabilities but hoped for its advancement to achieve higher sensitivity and specificity. None were however prepared to abandon its use.
Conclusion: IONM needs optimization. Its utility depends on user vigilance, multi-disciplinary validation, and individual expertise. This study draws out key issues from the user perspective that need to be addressed in order to enhance the utility of IONM. |
| first_indexed | 2024-12-22T06:06:10Z |
| format | Article |
| id | doaj.art-aa9baa81af0244f9a6190b464b14c055 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-22T06:06:10Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-aa9baa81af0244f9a6190b464b14c0552022-12-21T18:36:25ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2021-01-0115171310.4103/sja.SJA_862_20Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single centerChulananda GoonasekeraHolly JonesRebekah LawrenceJohn HanrahanPriyanka IyerAditi NijhawanBackground: The purpose of intraoperative neuro-monitoring (IONM) is to minimize injury to eloquent neural structures and optimize tumor resection. Method: We explored the utility of IONM using a qualitative approach in a single center. Eight experienced users of its use in spinal and cranial surgery in adults and children were the informants. Using a constant comparative method, the findings were collated by thematic analysis. Results: The user perspective is that of caution to minimize adverse effects whilst empowering the need for formal training to enhance its efficacy. The process of IONM needs standardization as practices vary amongst users. Most users expressed limited trust on its current capabilities but hoped for its advancement to achieve higher sensitivity and specificity. None were however prepared to abandon its use. Conclusion: IONM needs optimization. Its utility depends on user vigilance, multi-disciplinary validation, and individual expertise. This study draws out key issues from the user perspective that need to be addressed in order to enhance the utility of IONM.http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=1;spage=7;epage=13;aulast=Goonasekeraintraoperativeneuro-modulationneuro-monitoringneurosurgeryrisk-benefitutility |
| spellingShingle | Chulananda Goonasekera Holly Jones Rebekah Lawrence John Hanrahan Priyanka Iyer Aditi Nijhawan Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center Saudi Journal of Anaesthesia intraoperative neuro-modulation neuro-monitoring neurosurgery risk-benefit utility |
| title | Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center |
| title_full | Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center |
| title_fullStr | Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center |
| title_full_unstemmed | Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center |
| title_short | Exploring the utility of neuro-monitoring in neurosurgery: The users′ perspective in a single center |
| title_sort | exploring the utility of neuro monitoring in neurosurgery the users perspective in a single center |
| topic | intraoperative neuro-modulation neuro-monitoring neurosurgery risk-benefit utility |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=1;spage=7;epage=13;aulast=Goonasekera |
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