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Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
Published on: February 11, 2019
Intraoperative neurophysiologic monitoring: basic principles and recent update
Sung-Min Kim1, Seung Hyun Kim, Dae-Won Seo
1Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
Journal of Korean Medical Science
|September 10, 2013
Summary
Intraoperative neurophysiological monitoring (IOM) uses advanced electrophysiological methods for improved surgical accuracy. This review covers IOM techniques, their limitations, and optimal use during surgery.
Area of Science:
- Neuroscience
- Anesthesiology
- Medical Technology
Background:
- Recent advancements in anesthesiology and device technology have enhanced intraoperative neurophysiological monitoring (IOM).
- IOM plays a crucial role in maintaining neurological function during complex surgeries.
Purpose of the Study:
- To review the fundamental principles of electrophysiological techniques used in intraoperative neurophysiological monitoring (IOM).
- To discuss the optimal application and alarm criteria for various IOM modalities in surgical settings.
Main Methods:
- Review of established electrophysiological methods including motor evoked potentials (MEPs), somatosensory evoked potentials (SSEPs), electroencephalography (EEG), electromyography (EMG), brainstem auditory evoked potentials (BAEPs), and visual evoked potentials (VEPs).
- Analysis of stimulation and recording parameters for each modality.
- Discussion of alarm sign criteria.
Main Results:
- The review details the principles behind MEPs, SSEPs, EEG, EMG, BAEPs, and VEPs.
- Optimal stimulation/recording methods for diverse surgical procedures are discussed.
- Criteria for identifying significant alarm signs are presented.
Conclusions:
- Electrophysiological methods are integral to modern intraoperative neurophysiological monitoring (IOM).
- While IOM techniques have improved, their utility and interpretation require careful consideration of individual surgical contexts and modality-specific limitations.
