Bye-Bye Neuromonitoring Forum
Goodbye To The Neuromonitoring Forum One area of the website that I thought had the most potential to be an asset for the IONM community was the neuromonitoring forum. But it has been several months now and it is still a complete ghost town. I'm honestly not too...
EMG Nerve Monitoring During Minimally Invasive Fusion of the Sacroiliac Joint
Minimally Invasive Fusion of the Sacroiliac Joint Using EMG Nerve Monitoring EMG nerve monitoring in lumbar surgery makes up a large percentage of cases monitored every year. Using EMG nerve monitoring during SI joint fusions seems to be less utilized, even though the...
Physical Exam Scope Of Practice For The Surgical Neurophysiologist
SNP's Performing A Physical Exam: Who Should Do It And Who Shouldn't... Before any case is monitored, all pertinent patient history, signs, symptoms, physical exam findings and diagnostics should be gathered, documented and relayed to any oversight physician that may...
MEP Loss With Levetiracetam: Another Anesthetic To Consider With Motor Evoked Potentials
Levetiracetam And Its Effects On Transcranial Motor Evoked Potentials During Surgery Levetiracetam (AKA Keppra) It's pretty widely accepted that inhalational agents and muscle relaxants will reduce the effectiveness of transcranial motor evoked potentials during...
The Neuromonitoring Field: Let’s Make Some Predictions
What To Expect From The Neuromonitoring Field In The Future? Anyone else want to make some predictions about the neuromonitoring field? Let's talk about what we can expect out of neuromonitoring in the near future. This line of conversation seems to come up a lot....
Double-Train MEP: The New Standard Of Care?
Double-Train MEP On A Comeback Kick Using transcranial electric motor evoked potentials in the operating room has become routine practice for spinal cord monitoring. Recent improvements in the ability to record tcMEP have resulted in increased use during other...
Hey, Neuromonitoring Tech… What’s With That Thingy?
How Resourceful Of A Neuromonitoring Tech Are You? First off, let me start this topic off by saying that I'm not a big fan of the term neuromonitoring tech (I prefer surgical neurophysiologist or SNP). But I really want to address those in the field that might embrace...
Receptor Loss Causing Reduced Cortical SSEP: How To Identify It And Work Around It
Loss of Cortical SSEP Due To Loss of Receptor Activation Earlier in this 30 Days of Neuromonitoring series, I wrote about cortical and subcortical reorganization after a loss of afferent feedback from carpal tunnel syndrome and how that affects intraoperative...
Intraoperative Neuromonitoring Degree: Is This The Next Big Change In The Field?
The CNIM vs The Intraoperative Neuromonitoring Degree (Joe's notes: This is a GUEST POST by Josh Mergos, who is the director of the Intraoperative Neuromonitoring Program at the University of Michigan - School of Kinesiology. We met for the first time during a small...