在神经刺激器放置期间进行手术内神经刺激
Chie Kamada1, Rei Enatsu1, Aya Kanno1
1Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan.
Surgical neurology international
|October 9, 2023
概括
在手术期间的手术内神经刺激 (VNS) 有效地监控电极的放置. 中间神经是最敏感的,需要较低的声带响应值,提高手术安全.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 电子生理学 电子生理学
背景情况:
- 阴道神经刺激 (VNS) 是对耐火性的缓解治疗方法.
- 术内神经刺激用于防止VNS手术期间的电极错位.
研究的目的:
- 评估神经刺激值,以建立VNS外科手术中的手术内监测程序.
- 为了确定神经最敏感的部位,以获得最佳的刺激.
主要方法:
- 对46名接受VNS安置与手术内神经刺激的患者的回顾性分析.
- 通过电肌图和视觉识别确认肌肉收缩.
- 对神经和其他暴露的宫神经刺激值的分析.
主要成果:
- 在所有患者中,神经刺激诱导了声带反应.
- 最敏感部位的中位值为0.2mA,所有部位的中位值为0.25mA.
- 阴道神经的中间中间区域最敏感 (82.5%);其他部神经也显示了刺激值.
结论:
- 在外科手术期间的神经刺激有效地监测位置的位置变化.
- 刺激阴道神经的中间部分可以最大限度地降低强度.
- 了解神经特征可以提高VNS手术的有效性.
相关概念视频
Motor Unit Stimulation
1.6K
When the neuron of a motor unit fires an action potential, it triggers a series of events, leading to a twitch contraction in the muscle fibers. The process of excitation-contraction coupling is crucial in relaying the action potential to the muscle fibers.
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
1.6K
Local Anesthetics: Differential Sensitivity of Nerve Fibers
849
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
849


