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- Title
The establishment of an anaesthetist-managed intraoperative neurophysiological monitoring service and initial outcome data.
- Authors
Olesnicky, B. L.; D'Souza, R. J.; Jayram, D.; Kim, O. M. O.; Rehak, A.; Kim, Omo
- Abstract
Neurophysiological monitoring has been recommended to reduce the risk of neurological damage during a wide variety of surgeries. While the concept of an anaesthesia-led intraoperative neurophysiological monitoring (IONM) service is not new, the quality of this service provision has not been studied. In this article, we present our experience with the establishment of this service, and the results of our audit of 302 cases monitored over the initial four years. Our results identified that an anaesthesia-led IONM service was able to achieve a reliable signal in 95.4% of cases and capture significant alerts in 15.6% of these cases with sensitivity, specificity, false positive and negative rates consistent with published data. Our results indicate an anaesthesia-led IONM service is effective in identifying patients at an increased risk of an adverse outcome.
- Subjects
NEUROPHYSIOLOGIC monitoring; SOMATOSENSORY evoked potentials; NEUROLOGICAL disorders; BRAIN stem; ANESTHESIA in neurology; ANESTHESIOLOGY; COMPARATIVE studies; INTRAOPERATIVE monitoring; RESEARCH methodology; MEDICAL cooperation; HEALTH outcome assessment; RESEARCH; EVALUATION research; RETROSPECTIVE studies
- Publication
Anaesthesia & Intensive Care, 2018, Vol 46, Issue 1, p74
- ISSN
0310-057X
- Publication type
journal article
- DOI
10.1177/0310057x1804600111