Practice guidelines for the supervising professional: intraoperative neurophysiological monitoring.

The American Society of Neurophysiological Monitoring (ASNM) was founded in 1989 as the American Society of Evoked Potential Monitoring. From the beginning, the Society has been made up of physicians, doctoral degree holders, Technologists, and all those interested in furthering the profession. The Society changed its name to the ASNM and held its first Annual Meeting in 1990.

Temporary Reversal of Blood Flow During Transcarotid Artery Revascularization Does Not Change Brain Electrical Activity in Lead-In Cases of the ROADSTER 1 Multicenter Trial.

Purpose: To evaluate any intraoperative electroencephalographic (EEG) changes accompanying reversed flow with the ENROUTE Transcarotid Neuroprotection System during transcarotid artery revascularization (TCAR).

Methods: A post hoc analysis was performed of the first 81 consecutive lead-in patients (mean age 72.8±8 years; 61 men) enrolled in the ROADSTER 1 trial at 5 participating institutions.

Below the belt: sensory mapping and monitoring in the sacral-pudendal region.

Originally described in 1982, scalp somatosensory evoked potential responses can be recorded after stimulation of multiple different pudendal nerve- and sacral root-supplied structures. The resulting P40 response is usually the highest amplitude at Cz. Responses are generally easy to resolve and therefore should be of equivalent ease to follow for neurophysiologic intraoperative monitoring versus lower limb peripheral nerve somatosensory evoked potentials (e.

The possibility of clinical trials in neurophysiologic intraoperative monitoring: a review.

There is substantial controversy regarding the current evidence basis of practice for neurophysiologic intraoperative monitoring (NIOM). The randomized controlled trial is clearly the highest level of evidence of efficacy for intervention in health care. The low rate of new neurologic deficits in many types of surgeries for which NIOM is considered means that statistical power would require tremendous trial size; however, there are some surgeries with higher rates of new neurologic deficit for which this effect is not the case.

Continuous and routine EEG in intensive care: utilization and outcomes, United States 2005-2009.

Objectives: To evaluate the effect of intensive care unit continuous EEG (cEEG) monitoring on inpatient mortality, hospital charges, and length of stay.

Methods: A retrospective cross-sectional study was conducted using the Nationwide Inpatient Sample, a dataset representing 20% of inpatient discharges in nonfederal US hospitals. Adult discharge records reporting mechanical ventilation and EEG (routine EEG or cEEG) were included.

The American Academy of Neurology's top five choosing wisely recommendations.

Objective: To discuss the American Academy of Neurology (AAN)'s Top Five Recommendations in the Choosing Wisely campaign promoting high-value neurologic medicine and physician-patient communication. The AAN published its Top Five Recommendations in February 2013 in collaboration with the American Board of Internal Medicine Foundation and Consumer Reports.

Methods: A Choosing Wisely Working Group of 10 AAN members was formed to oversee the process and craft the evidence-based recommendations.