SURGICAL SPECIALTIES SERVED

Orthopaedics
Neurosurgery
Otolaryngologic surgery
Cardiac surgery
Vascular surgery
Interventional radiology
Neurology: Intensive Care Unit

Intraoperative neural monitoring provides a pre-operative assessment of the patient's neurophysiological status followed by continuous updates throughout the surgical procedure.  Intraoperative monitoring confirms functional neural status during body positioning and flexions/extensions of fragile spines, as well as documentation of neurophysiological events and their relation to anesthetic changes, MBP fluctuations, hemorrhage, PH changes and document post-operative measurements.

Procedures that benefit from intraoperative monitoring include:

Orthopedic Surgeries

Intraoperative monitoring is performed during operations on the spine, during which the spinal cord and/or nerve roots may be compromised. These include tumor resection and deformity correction.

Neurosurgery

Intraoperative monitoring techniques are utilized during neurosurgical procedures when brain, spinal cord, and/or major nerve roots are place at risk. Neurophysiological monitoring provides immediate feedback regarding cortical and subcortical function.

Otolaryngology

Intraoperative monitoring techniques are utilized during otolaryngological procedures when cranial nerve and brain tissues are placed at risk, including neck surgeries including parotidectomies and thyroidectomies; and ear surgeries including Cochlear implants, mastoidectomies and tympanoplasties.

Cardiothoracic Surgery

Intraoperative monitoring techniques are utilized during cardiovascular procedures to detect ischemic changes during temporary or permanent occulsion of major cardio-thoracic arteries. Immediate neurological status of the patient can be predicted utilizing intraoperative monitoring techniques.

Vascular Surgery

Intraoperative monitoring is utilized during vascular surgery procedures to verify perfusion of neural tissue during temporary and permanent occulsion of major blood vessels and spinal radicular arteries. Neurophysiological monitoring provides immediate feedback regarding the patient's neural status.

Interventional Radiology

Intraoperative monitoring techniques are utilized during interventional radiology procedures to verify perfusion of neural tissue. Gives immediate feedback regarding the patient's neural status.

Intensive Care Unit Monitoring

Intraoperative neurophysiological monitoring techniques are utilized following major cerebral and spinal surgery in the intensive care unit. Monitoring provides feedback regarding perfusion of neural tissue during recovery when there are fluctuations in mean blood pressure and/or intracranial and intraspinal pressure. Early detection of neural changes allows for immediate intervention.

Intensive care unit neurophysiological monitoring may also detect subclinical seizures thereby allowing titration of anti-seizure medications.