Intraoperatives elektrophysiologisches Monitoring mit evozierten Potenzialen
Standard
Intraoperatives elektrophysiologisches Monitoring mit evozierten Potenzialen. / Nitzschke, R; Hansen-Algenstaedt, N; Regelsberger, J; Goetz, A E; Goepfert, M S.
in: ANAESTHESIST, Jahrgang 61, Nr. 4, 04.2012, S. 320-35.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Intraoperatives elektrophysiologisches Monitoring mit evozierten Potenzialen
AU - Nitzschke, R
AU - Hansen-Algenstaedt, N
AU - Regelsberger, J
AU - Goetz, A E
AU - Goepfert, M S
PY - 2012/4
Y1 - 2012/4
N2 - During the last 30 years intraoperative electrophysiological monitoring (IOEM) has gained increasing importance in monitoring the function of neuronal structures and the intraoperative detection of impending new neurological deficits. The use of IOEM could reduce the incidence of postoperative neurological deficits after various surgical procedures. Motor evoked potentials (MEP) seem to be superior to other methods for many indications regarding monitoring of the central nervous system. During the application of IOEM general anesthesia should be provided by total intravenous anesthesia with propofol with an emphasis on a continuous high opioid dosage. When intraoperative MEP or electromyography guidance is planned, muscle relaxation must be either completely omitted or maintained in a titrated dose range in a steady state. The IOEM can be performed by surgeons, neurologists and neurophysiologists or increasingly more by anesthesiologists. However, to guarantee a safe application and interpretation, sufficient knowledge of the effects of the surgical procedure and pharmacological and physiological influences on the neurophysiological findings are indispensable.
AB - During the last 30 years intraoperative electrophysiological monitoring (IOEM) has gained increasing importance in monitoring the function of neuronal structures and the intraoperative detection of impending new neurological deficits. The use of IOEM could reduce the incidence of postoperative neurological deficits after various surgical procedures. Motor evoked potentials (MEP) seem to be superior to other methods for many indications regarding monitoring of the central nervous system. During the application of IOEM general anesthesia should be provided by total intravenous anesthesia with propofol with an emphasis on a continuous high opioid dosage. When intraoperative MEP or electromyography guidance is planned, muscle relaxation must be either completely omitted or maintained in a titrated dose range in a steady state. The IOEM can be performed by surgeons, neurologists and neurophysiologists or increasingly more by anesthesiologists. However, to guarantee a safe application and interpretation, sufficient knowledge of the effects of the surgical procedure and pharmacological and physiological influences on the neurophysiological findings are indispensable.
KW - Electric Stimulation
KW - Electroencephalography
KW - Electromyography
KW - Evoked Potentials/physiology
KW - Evoked Potentials, Motor/physiology
KW - Evoked Potentials, Somatosensory/physiology
KW - Humans
KW - Intraoperative Complications/physiopathology
KW - Monitoring, Intraoperative/methods
KW - Neurosurgery
KW - Spinal Cord/physiology
KW - Thoracic Surgery
KW - Vascular Surgical Procedures
U2 - 10.1007/s00101-012-2015-3
DO - 10.1007/s00101-012-2015-3
M3 - SCORING: Review
C2 - 22526743
VL - 61
SP - 320
EP - 335
JO - ANAESTHESIST
JF - ANAESTHESIST
SN - 0003-2417
IS - 4
ER -