Intraoperative Neuromonitoring: Principles and Considerations for Perioperative Nurses

$23.10
Issue:
Volume 110, Issue 1 - July 2019
CE Amount:
2.1
Member Price:
Free
CE Expire Date:
7/31/2022
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SKU:
CEA/19520/0001
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Intraoperative Neuromonitoring: Principles and Considerations for Perioperative Nurses

ABSTRACT

Intraoperative neuromonitoring (IONM) is a method used to warn the surgeon of impending neurological damage while it can still be corrected, thereby preventing a permanent neurological deficit in the surgical patient. It was originally used in neurosurgery, but now also applies to other surgical specialties. Comprehensive monitoring of a patient’s neurological status requires using a variety of approaches. The IONM tests most frequently used in the OR are somatosensory evoked potentials; transcranial electrical motor evoked potentials; electromyography, including cranial nerve monitoring; and electroencephalography. With its increased use during a variety of operative and other invasive procedures, most perioperative nurses will be exposed to IONM at some point in their careers. This article provides perioperative nurses with a basic understanding of IONM, including the framework, purpose, associated terminology, and nursing implications.

Key words: intraoperative ​neuromonitoring​(IONM) ,​evoked ​potentials, ​electromyography​(EMG), ​cranial ​nerve,​​ electroencephalography​(EEG).