[Intraoperative electrophysiological monitoring with evoked potentials].
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[Intraoperative electrophysiological monitoring with evoked potentials]. / Nitzschke, Rainer; Hansen-Algenstaedt, Nils; Regelsberger, Jan; Goetz, Alwin E.; Göpfert, Matthias.
In: ANAESTHESIST, Vol. 61, No. 4, 4, 2012, p. 320-335.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Intraoperative electrophysiological monitoring with evoked potentials].
AU - Nitzschke, Rainer
AU - Hansen-Algenstaedt, Nils
AU - Regelsberger, Jan
AU - Goetz, Alwin E.
AU - Göpfert, Matthias
PY - 2012
Y1 - 2012
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 - Humans
KW - Electric Stimulation
KW - Evoked Potentials/physiology
KW - Evoked Potentials, Somatosensory/physiology
KW - Electromyography
KW - Electroencephalography
KW - Evoked Potentials, Motor/physiology
KW - Intraoperative Complications/physiopathology
KW - Monitoring, Intraoperative/methods
KW - Neurosurgery
KW - Spinal Cord/physiology
KW - Thoracic Surgery
KW - Vascular Surgical Procedures
KW - Humans
KW - Electric Stimulation
KW - Evoked Potentials/physiology
KW - Evoked Potentials, Somatosensory/physiology
KW - Electromyography
KW - Electroencephalography
KW - Evoked Potentials, Motor/physiology
KW - Intraoperative Complications/physiopathology
KW - Monitoring, Intraoperative/methods
KW - Neurosurgery
KW - Spinal Cord/physiology
KW - Thoracic Surgery
KW - Vascular Surgical Procedures
M3 - SCORING: Zeitschriftenaufsatz
VL - 61
SP - 320
EP - 335
JO - ANAESTHESIST
JF - ANAESTHESIST
SN - 0003-2417
IS - 4
M1 - 4
ER -
