Intraoperative Electrophysiologic Monitoring of Ocular Motor Nerves Under Conditions of Partial Neuromuscular Blockade During Skull Base Surgery
نویسندگان
چکیده
منابع مشابه
Our experience with facial nerve monitoring in vestibular schwannoma surgery under partial neuromuscular blockade.
INTRODUCTION AND OBJECTIVES Facial nerve monitoring is fundamental in the preservation of the facial nerve in vestibular schwannoma surgery. Our objective was to analyse the usefulness of facial nerve monitoring under partial neuromuscular blockade. METHODS This was a retrospective analysis of 69 patients operated in a tertiary hospital. RESULTS We monitored 100% of the cases. In 75% of the...
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OBJECTIVES The electrophysiologic responses of 1,381 recurrent laryngeal nerves (RLN) during monitored neck surgery were recorded and reviewed. STUDY DESIGN Retrospective case series. METHODS With institutional review board approval, we reviewed thyroid and other neck surgeries performed with intraoperative nerve monitoring (IONM) between the years 1995 and 2006. This list yielded consecuti...
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Objective To evaluate the value of free-run electromyography (f-EMG) monitoring of extraocular cranial nerves (EOCN) III, IV, and VI during expanded endonasal surgery (EES) of the skull base in reducing iatrogenic cranial nerve (CN) deficits. Design We retrospectively identified 200 patients out of 990 who had at least one EOCN monitored during EES. We further separated patients into groups acc...
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The principal objectives of intraoperative monitoring are to improve perioperative outcome, facilitate surgery and reduce adverse events, using continuously collected data of cardiopulmonary,neurologic and metabolic function to guide pharmacologic and physiologic therapy. Although sophisticated and reliable apparatus may be used to collect these data they are useless, or even harmful, without p...
متن کاملMonitoring neuromuscular blockade.
Neuromuscular-blocking agents (NMBA) have been used in clinical anesthesia for nearly 60 years. In the perioperative period, a variety of factors can influence a patient’s response to these drugs. To precisely titrate NMBAs to clinical effects in the anesthetized patient, the application of neuromuscular monitoring is essential. The use of a peripheral nerve stimulator allows the clinician to a...
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ژورنال
عنوان ژورنال: Skull Base
سال: 1996
ISSN: 1531-5010,1532-0065
DOI: 10.1055/s-2008-1058908