J Neuroanaesth Crit Care 2015; 02(03): 179-192
DOI: 10.4103/2348-0548.165035
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Intra-operative neurophysiological monitoring

Zulfiqar Ali
1  Department of Anaesthesiology and Critical Care, Division of Neuroanesthesiology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir and Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, India
,
Parmod K Bithal
1  Department of Anaesthesiology and Critical Care, Division of Neuroanesthesiology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir and Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, India
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Publication History

Publication Date:
02 May 2018 (online)

Abstract

Intraoperative neurophysiological monitoring has achieved importance due to complexity of cranio-spinal surgical procedures being performed frequently these days. Many studies have proven a decreased neurological complication rate after its introduction. It is broadly of two types: Sensory evoked potentials and motor evoked potentials which are further sub-divided. Its use during surgery requires a controlled anaesthesia technique with no or minimal influence on its recording. Its success depends upon three way communication among the surgeon the neurophysiologist and the anaesthesiologist.