
SSEP Improvement Driving Surgical Decision Making In Spinal Decompression Surgery?
Is SSEP Improvement Sensitive For Detecting Complete Decompression Of The Spinal Cord Or Nerve Root? In an article that I wrote years ago, titled Brainstem Auditory Evoked Potential Used To Predict The Need For Duraplasty In Chiari Malformation Type I Decompression, I...

How I became a Surgical Neurophysiologist (From The Physical Therapy World)
Steps To Becoming A Surgical Neurophysiologist (Guest Post) Joe’s Notes: I don’t really ever write it after my name anymore, but I am also an OTR (Registered Occupational Therapist). If I would have stopped there, I don't think I would have learned about becoming a...

How To Best Use Spectral Analysis and Bandpass Filters In The O.R.
Tools of the Neurophysiologist – Spectral Analysis and Bandpass Filters (Joe's notes: This guest post is written by Tom Epplin-Zapf on a topic that might be considered one of the field's Achilles heel (or at least complaints from people after taking the CNIM has me to...

Anesthesia With Neuromonitoring: The Cheat Sheet…
Everyday Neuromonitoring With Anesthesia Conversations... Everyone has their own experiences working with anesthesiologist and CRNAs. At some facilities, the neuromonitoring clinician tells the anesthesia team what they need, and anesthesia accommodates. At other...

Intraoperative Bulbocavernosus Reflex: Give It A Second Chance?
Intraoperative Bulbocavernosus Reflex Surgeon: Isn’t there anything else you can do to monitor the sacral nerve roots? That’s the area I’m most concerned about today… Me: Well, there’s the intraoperative bulbocavernosus reflex. That would monitor the pudendal nerve up...

ABR Click Polarity: Practical Advice On How To Use It In The OR…
Optimization Tip: How To Use ABR Click Polarity Wisely... Brainstem auditory evoked potentials can be a pain. Sometimes downright frustrating. Their saving grace is that anesthesia is really going to have to go out of their way to mess up the responses. We might see...