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Tutorial 397

Introduction to Intraoperative Neurophysiological Monitoring for Anaesthetists

Heidi Yu Wing-hay1†, Eric Chung Chun-kwong2

1Resident, Department of Anaesthesia, Queen Mary Hospital, Hong Kong
2Associate Consultant, Department of Anaesthesia, Queen Mary Hospital, Hong Kong

Edited by: Dr. Clara Poon Ching-mei, Consultant, Department of Anaesthesia,
Queen, Mary Hospital, Hong Kong

Corresponding author e-mail: heidiyuwinghay@gmail.com

Published 5 February 2019

Abstract

There is growing evidence that intraoperative neurophysiological monitoring reduces neurological disability from surgery, but universal protocol and guideline for its use and interpretation are still lacking. The anaesthetist play an important role in evaluating the impact of anesthesia and physiology on IOM signals and optimising these factors intraoperatively. This tutorial discusses the IOM modalities that are commonly used and the multidisciplinary management of signal changes