Monitoring

Monitoring

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Neurophysiological Monitoring

IONM is the application of somatosensory-evoked, motor-evoked, and brainstem auditory- evoked potentials with electromyography and quantitative electroencephalographic recording techniques to detect changes in the functional status of neural structures at risk during surgery. IONM detects threats that may cause neural damage, including excessive or accidental retraction of anatomical structures and the compression or encroachment of bony structures, while also verifying the placement of instrumentation.

IONM can detect mechanical stretching of the spinal cord, brainstem, cranial, and peripheral nerves, as well as the disruption of cerebral, brainstem, cranial, and spinal cord blood flow. It can also be helpful in clarifying anatomical structures that have been distorted by degenerative disease, congenital anomalies, revision surgery, tumor, or inflammatory processes that may obscure normal anatomic relationships and surgical landmarks.

Surgeons receive full transparency

United Medical Monitoring provides the surgeon with full documentation of a patient’s neural status before, during, and after a surgical procedure, and this information can help reduce the surgeon’s liability and exposure to frivolous lawsuits. IONM can be helpful in clarifying anatomical structures that have been distorted by degenerative disease, congenital anomalies, revision surgery, tumor, or inflammatory processes that may obscure normal anatomic relationships and surgical landmarks. It can help identify new systematic (nervous system) impairment and identify or separate nervous system structures (for instance, around or in a tumor or scar tissue), and can demonstrate which tracts or nerves are still functional. When a surgeon has the benefit of early warning of altered neurological functions they can intervene immediately and avoid or reverse the potential for injury.

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United provides all types of neurophysiological monitoring modalities:

  • Electromyography
  • Transcranial Motor Evoked Potentials
  • Auditory Evoked Potentials
  • Somatosensory Evoked Potentials
  • EEG and Computer Enhanced EEG
  • Spinal Cord Evoked Potentials
  • Cortical Mapping
  • Cerebral Venous Oxygen Saturation