How To Run Hypoglossal Nerve Stimulation For Obstructive Sleep Disorder
Hypoglossal Nerve Stimulation: A Novel Technique for IONM This isn't our first time helping surgeons map out nerves. We are starting to see some traction in hypoglossal nerve stimulation for obstructive sleep apnea. Obstructive sleep apnea is one of the most prevalent...
How To Avoid An Unimpressive IONM Resume…
What Does Your IONM Resume Say About You? Let's break down the neuromonitoring field a little bit here (it will help your IONM resume not suck)... If you had to guess what percent of the cases your company monitors are spine cases, where would you place your bets? If...
Changing My Mind on TIVA For Carotid Endarterectomy?
Beliefs Are Identities In hindsight, it was obvious. It almost always is. But this one seems like a real head smacker. I don't need any modern equipment; 30 minutes and a playground and my 2 boys will make a bulletproof case for handwashing. Their fingernails will...
IONM Conferences Are Back! Here’s How to Make the Most of It…
Remember a couple of years ago when we would all meet up at IONM conferences to share ideas and network in real life? Well, I'm venturing off to my first one since COVID-19 hit. This year's ASNM annual meeting is in Clearwater, Fl on May 20th and I'll be there looking...
The Thing I Wanted Most For IONM: Improved Signals In Spine Surgery…
Signal Improvements In tcMEP and SSEP During Spine Surgery What does everyone want for IONM? Needless recording electrodes and cordless monitoring equipment. Both would be great -- if it actually worked like the alternative. But I can't be alone in thinking this:...
It’s NOT Motor Mapping Vs. Navigation; It’s Motor Mapping And Navigation…
The surgeon uses navigation and wants to know why she should use motor mapping for her crani? That's the question posed to me by a clinician years ago. It was just before I set up my case and they recruited me into the conversation. So I walked over to the room next...
How To Have Deep Dive Neuromonitoring Conversations That Pays Off…
How To Have A Neuromonitoring Discussion One of the reasons for starting this website was to make sure I was part of the neuromonitoring conversation. It was a decision I made early in my career... and I'm glad I did. Hearing the different perspectives and experiences...
Intraoperative EMG: Referential or Bipolar?
Recording Electrodes For EMG in the Operating Room: Referential or Bipolar? If your IONM manager walked into the OR in the middle of your case, took a look at your intraoperative EMG traces and started questioning your setup, could you defend yourself? I try to do...
BAER During MVD Surgery: A New Protocol?
BAER (Brainstem Auditory Evoked Potentials) During Microvascular Decompression Surgery You might remember when I was complaining about using ABR in the operating room and how to adjust the click polarity to help obtain a more reliable BAER. But my first gripe, having...