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, ideally 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.

journal_name

AORN J

journal_title

AORN journal

authors

Roth M,Rakers L

doi

10.1002/aorn.12726

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

11-26

issue

1

eissn

0001-2092

issn

1878-0369

journal_volume

110

pub_type

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