How To Optimize Sub-cortical SSEP In The Operating Room
Optimizing Sub-cortical SSEP There is 1 electrode that I see get misused in somatosensory evoked potentials more so than any other electrode in any modality. This is the electrode placed over the cervical spine (or sometimes around the ear or mastoid) and generally...
How To Use The Trapezius Muscle In Intraoperative EMG and MEP
The Trapezius Muscle In Intraoperative Neuromonitoring If we follow the same medical textbooks we used in school to pass a test, then we know for sure that the motor portion of the trapezius is innervated by the spinal accessory nerve (CN 11) and the sensory portion...
How To Accurately Assess Train Of Four Monitoring
Monitoring Train Of Four During Surgery From the perspective of the anesthesiologist, one of the benefits of having a surgical neurophysiologist monitor during surgery is a more precise measurement of muscle relaxation or train of four monitoring. In some of the...
Non-Compete Clause In IONM: Interview With An Attorney
Non-Compete Clauses In Intraoperative Neuromonitoring (Joe’s notes: In today's GUEST POST I interview Greg Barthelette, a lawyer in Boca Raton, Florida. Greg practices in a few different areas, most important to us is business law. I've used his services every time...
How Carpal Tunnel Syndrome Has Central Consequences That Affects Neuromonitoring
Carpal Tunnel Considerations In Neuromonitoring In the neurodiagnostic world, evaluating carpal tunnel syndrome is one of their bread-and-butter studies. For surgical neurophysiologist who works in the operating room, the topic of median nerve compression at the wrist...
IONM Manager: 7 Ways To Get Into Neuromonitoring Management
IONM Manager: 7 Ways To Get A Neuromonitoring Management Position There are far fewer neuromonitoring management positions available than there are clinicians that want them. If you’re working for a smaller contract company or in-house neuromonitoring group, you’ll...
Propep Surgical Introduces Monitoring During Radical Robotic Prostatecomies
Propep Surgical: Pudendal Nerve Neuromonitoring During Prostatectomy (Notes from Joe: Neuromonitoring used during prostatectomies has always made sense to me, so things made sense when Jann Rasmussen from Propep surgical talked to me about his new business venture....
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...