Neural Monitoring

Neural Monitoring PDF Author: Steven K. Salzman
Publisher: Springer Science & Business Media
ISBN: 1461204917
Category : Medical
Languages : en
Pages : 343

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Book Description
The symposium from which this book originates represents a sig nificant watershed in the field of intraoperative neural monitoring, since the participants concluded that electrophysiologic monitoring techniques should be considered a "standard of care" for surgical pro cedures that place the central nervous system (CNS) at risk for injury. Specifically, it was agreed that the somatosensory-evoked potential (SEP) is a remarkably reliable and sensitive indicator of several aspects of CNS function, and should be routinely employed as an intraopera tive monitor during many neurosurgical and orthopedic procedures. The significance of this conclusion cannot be overstated, for at the time of this writing, intraoperative monitoring methods based on evoked-potential analyses are still considered experimental and are not in routine use. The reasons for this are not clear, given the accu mulation of literature and expertise on this subject over the past five years. Granted, the cost of electrophysiological monitoring equip ment is high, but only initially. The benefits of injury prevention far outweigh these costs, from both medical and economic viewpoints. It is our sincere hope and goal that the medical community be made aware of the value of intraoperative neural monitoring.

Neural Monitoring

Neural Monitoring PDF Author: Steven K. Salzman
Publisher: Springer Science & Business Media
ISBN: 1461204917
Category : Medical
Languages : en
Pages : 343

Get Book Here

Book Description
The symposium from which this book originates represents a sig nificant watershed in the field of intraoperative neural monitoring, since the participants concluded that electrophysiologic monitoring techniques should be considered a "standard of care" for surgical pro cedures that place the central nervous system (CNS) at risk for injury. Specifically, it was agreed that the somatosensory-evoked potential (SEP) is a remarkably reliable and sensitive indicator of several aspects of CNS function, and should be routinely employed as an intraopera tive monitor during many neurosurgical and orthopedic procedures. The significance of this conclusion cannot be overstated, for at the time of this writing, intraoperative monitoring methods based on evoked-potential analyses are still considered experimental and are not in routine use. The reasons for this are not clear, given the accu mulation of literature and expertise on this subject over the past five years. Granted, the cost of electrophysiological monitoring equip ment is high, but only initially. The benefits of injury prevention far outweigh these costs, from both medical and economic viewpoints. It is our sincere hope and goal that the medical community be made aware of the value of intraoperative neural monitoring.

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery PDF Author: Joseph Scharpf
Publisher: Springer Nature
ISBN: 3030849163
Category : Medical
Languages : en
Pages : 214

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Book Description
This book covers the scope of cranial nerve monitoring of all cranial nerves that are of practical importance in head, neck, and thyroid surgery. It discussed enhanced patient outcomes in a wide array of surgical procedures in the head and neck that require the maintenance of complex regional functions by protecting cranial nerve integrity. Organized into four parts, the book begins with Part I offering historical perspectives on the subject while simultaneously reviewing various basic and advanced electrophysiology. Part II thoroughly reviews the extra-temporal bone facial nerve (CN VII), Glossopharyngeal Nerve (CN IX), Vagal/Recurrent Laryngeal Nerve (CN X), Spinal Accessory Nerve (CN XI), and Hypoglossal Nerve (CN XII). Subsequent chapters in Part III provide a complete and applied understanding of the neurophysiological principles that facilitate the surgeon’s ability to monitor any nerve and intraoperative neural stimulation and nerve monitoring. The book presents various techniques as the standard of care to provide optimal neural detection, understand the neural functional real-time status during surgery and optimize specific surgical outcomes such as thyroid surgical outcomes. Closing chapters offer essential conversations regarding ethical considerations in nerve monitoring and medical malpractice. Filling a gap in the literature, Intraoperative Cranial Nerve Monitoring in Otolaryngology: Head and Neck Surgery provides a single source for surgeons who wish to optimize their outcomes in patient care and accelerate their learning curve to the level of more experienced surgeons.

Neuromonitoring Techniques

Neuromonitoring Techniques PDF Author: Hemanshu Prabhakar
Publisher: Academic Press
ISBN: 012809916X
Category : Medical
Languages : en
Pages : 372

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Book Description
Neuromonitoring Techniques: Quick Guide for Clinicians and Residents provides a quick and easy guide to understanding various neuromonitoring equipment. Chapters include intracranial pressure monitoring, EEG-based monitors, evoked potentials and transcranial doppler. This book is written for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanesthesia and neurology. As specialized neuromonitoring is now routinely done in neurosurgical cases, it provides an important resource for neurologists, neurophysiologists, anesthesiologists and residents who are expected to have theoretical and practical knowledge on different systems. Each monitoring system is discussed separately, with examples, images, reference values and their interpretations. - Provides a quick and easy guide to understanding various neuromonitoring techniques - Presents information on each monitoring system, with examples, images, reference values and their interpretation - Useful for trainees, clinicians and researchers in the fields of neurosurgery, neurocritical care, neuroradiology, neuroanasthesia and neurology

Intraoperative Monitoring of Neural Function

Intraoperative Monitoring of Neural Function PDF Author: Marc R. Nuwer
Publisher:
ISBN: 9780444518248
Category : Electroencephalography
Languages : en
Pages : 0

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Book Description
This second edition devotes almost 1000 pages to IOM. The first section covers basic science aspects to understand the generation of electro-physiologic signals and the anatomic structures involved. Then it follows a detailed description of ALL the techniques currently available. The last part covers the different types of surgical procedures where IOM may be needed

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery PDF Author: Alexander L. Shifrin
Publisher: Springer Nature
ISBN: 3031246136
Category : Medical
Languages : en
Pages : 106

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Book Description
This comprehensive atlas is the modern, state-of-the-art guide for intraoperative neurophysiologic monitoring (IONM) and management of the recurrent laryngeal nerve, vagus nerve and other cranial nerves at risk during thyroid, parathyroid and modified radical neck dissection surgery. Based on real-time electrophysiologic images, it will assist the surgeon in the decision-making process by incorporating important information related to the identification of the nerves and their functional status, aiding in the interpretation and improvement of the quality of neural monitoring and reducing inappropriate variations in monitoring technique. Utilization of IONM enables the surgeon to interrogate nerve anatomy and function with immediate quantitative feedback, thereby augmenting surgical training, and importantly, surgical skills and sound anatomic knowledge remain prerequisite and are not supplanted by IONM use. Authored by experts in the field, Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery will be the gold-standard text for IONM for endocrine surgeons, otolaryngology surgeons, neurophysiologists, and head and neck surgeons, as well as fellows and residents in these areas.

Neurolaryngology

Neurolaryngology PDF Author: Robert Thayer Sataloff
Publisher: Plural Publishing
ISBN: 1944883843
Category : Medical
Languages : en
Pages : 1193

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Book Description
Neurolaryngology brings together in one volume the latest concepts in this important and developing field. In order to make this text as useful as possible for clinicians, selected chapters on general concepts important to clinical care have been included, including chapters on history, physical examination, clinical voice laboratory assessment, common diagnoses and treatments, and other topics important to all voice patients, including those with neurolaryngological complaints. Starting with a perspective on modern voice medicine, including neurolaryngology and a brief historical overview of the development of laryngology, the text goes on to describe neuroanatomy and physiology, laryngeal function, and the role of chaos in voice disorders. It contains fascinating new ideas on applications of nonlinear dynamics to voice care and research, a topic of great relevance in neurolaryngology. Beginning the section on clinical assessment of voice disorders is a description of the current approach to history and physical examination recommended for patients with neurolaryngological voice disorders. The text contains the most current research and references throughout, presenting the latest information about many conditions, including some rarely covered in the laryngologic literature; it highlights diagnosis and treatment of a wide array of motor and sensory disorders that may impair voice. The interdisciplinary expertise of numerous authors has been invaluable in the preparation of this text; however, every effort has been made to maintain style and continuity throughout. Clinically relevant and thought provoking, Neurolaryngology is the definitive encyclopedic reference in this new subspecialty of laryngology.

Innovations in Modern Endocrine Surgery

Innovations in Modern Endocrine Surgery PDF Author: Michael C. Singer
Publisher: Springer Nature
ISBN: 3030739511
Category : Medical
Languages : en
Pages : 298

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Book Description
This book is the first to focus on the range of innovations that have been critical to the emergence of modern endocrine surgery. It provides a state-of-the art review of these developments, providing surgeons a single resource to better understand them. The text is broken into five parts. The first two parts cover the diagnosis and preoperative work-up of thyroid disease and parathyroid disease. Part three and four cover surgical adjuncts and surgical techniques. Finally, part five covers post-operative management and reviews developments that have allowed for ambulatory management to become a standard aspect of endocrine surgery. The book is written by experts that have been the primary proponents of the individual innovations. Chapters discuss the challenges and issues that the innovation address, its current state or use, and potential short- and long-term future directions/advances. Equipped with the knowledge provided by this text, surgeons can assess their own practice and choose to integrate innovations that may improve their patients’ outcomes. Innovations in Modern Endocrine Surgery serves as a valuable resource for all physicians and trainees interested in the how and why of performing modern thyroid and parathyroid surgery. It also allows surgeons to measure the state of their current practice against the most progressive techniques and determine if opportunities exist to update their approach.

Surgery of the Thyroid and Parathyroid Glands E-Book

Surgery of the Thyroid and Parathyroid Glands E-Book PDF Author: Gregory W. Randolph
Publisher: Elsevier Health Sciences
ISBN: 0323661289
Category : Medical
Languages : en
Pages : 1010

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Book Description
Bringing together more than over 120 expert contributors from otolaryngology, general surgery, endocrinology, and pathology, Surgery of the Thyroid and Parathyroid Glands, 3rd Edition, presents an interdisciplinary approach to surgical management and treatment of benign and malignant disease. This renowned text/atlas is an ideal resource at all levels of surgical experience: for residents and junior surgeons, it clearly provides all relevant anatomy, surgical procedures, and workup; for experienced surgeons, it details the management of difficult cases, including revision surgery. Highly illustrated and accompanied by dozens of videos, this edition brings you up to date with the full continuum of care in thyroid and parathyroid surgery. - Easy-to-follow, templated chapters cover preoperative evaluation, surgical anatomy, intraoperative techniques, and postoperative management, for a full range of disorders of the thyroid and parathyroid glands. - More than 30 procedural videos walk you step by step through minimally invasive thyroid surgery, surgical anatomy and monitoring of the recurrent laryngeal nerve, surgery for locally advanced thyroid cancer and nodal disease, and more; plus 23 chapter guide videos from the authors with Surgical Text Video Editor-in-Chief Gregory W. Randolph, Jr . - Coverage of cutting-edge topics includes recurrent laryngeal nerve monitoring, minimally invasive surgery and the role of PET in staging and surgical planning. - Expert guidance on thyroid cancer, including multiple chapters on PTC, MTC and HCC, ATC and NIFTP. - New chapters cover medical oncology and TKI therapy. - Extensive coverage of key topics such as FNA mutational analysis, transoral and minimally invasive surgery, recurrent laryngeal nerve monitoring, management of RLN paralysis, all aspects of parathyroid disease, ethics, malpractice, and more. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Orthopedic Rehabilitation, Assessment, and Enablement

Orthopedic Rehabilitation, Assessment, and Enablement PDF Author: David Ip
Publisher: Springer Science & Business Media
ISBN: 3540376941
Category : Medical
Languages : en
Pages : 648

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Book Description
This text covers every aspect of musculoskeletal system rehabilitation. It extends even further into such topics as alternative medicine, holistic therapies, acupuncture, neurophysiologic testing, overuse injuries, work assessment, and outcome measures. Each chapter covers the basic science of the subject, clinical assessments as well as rehabilitation options, methods, and their outcomes. A completely new look on the important topic of geriatric hip rehabilitation is included. While the information throughout the text is presented in a highly structured and concise manner, the subjects are covered in extraordinary detail.

Thyroid Surgery

Thyroid Surgery PDF Author: Mario Testini
Publisher: Springer Nature
ISBN: 3031311469
Category : Medical
Languages : en
Pages : 182

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Book Description
This open access book on thyroid surgery has been authored by an international team of contributors who present a comprehensive understanding of both benign and malignant thyroid disorders. It also outlines an interdisciplinary approach to their surgical management that reflects the latest changes in surgical techniques. The book reviews the most up-to-date literature available on thyroid surgery and presents it in a concise manner for use in clinical practice. For each thyroid disorder, the book covers etiology, clinical manifestations, diagnostic and localization procedures, as well as surgical and non-surgical treatment options. The operating techniques and postoperative management are explained in detail, while the benefits, risks, controversial issues, and cost-effectiveness of each approach are reviewed. To aid in the understanding of complex information, the book features drawings and photographs. Written in an easy-to-understand style, the book includes tables and diagrams that highlight best practices and current guidelines, as well as self-assessment material at the end of each section. It serves as an ideal resource for all levels of surgical experience, from a practical reference for endocrine surgeons to a perfect companion for students and residents.