Importance of Intraoperative Neuromonitoring

During high-risk surgery, unforeseen neurological complications can arise. Intraoperative neuromonitoring (IONM) is an important adjunct surgical service that monitors vulnerable neural structures and gives surgeons the ability to detect and prevent possible impairment in real time. This important supplementary practice lowers the risk of postoperative neurological deficits to less than .5%, a significant decrease from the normal ~4% risk without intraoperative neuromonitoring.

Use of intraoperative neuromonitoring decreases the risk of paralysis and other complications during these critical surgical procedures. Traditional methods of tracking blood pressure, pulse, respiration, and blood gas content to gauge patient health during surgery leaves a large margin for error that can be mitigated with intraoperative neuromonitoring real-time feedback involving the brain, spinal cord, and peripheral nervous system. This practice safeguards from incidents of paralysis, muscle weakness, sensory deficits, and more.

For Intraoperative Neuromonitoring to work effectively, a well-trained neuromonitorist must collect baseline patient metrics before the surgical procedures have commenced by using a variety of electrophysiological tests. During the operation, the neuromonitor must interpret any changes to these metrics, which can signal when complications arise. The tests performed include Somatosensory Evoked Potentials (SEPs), Motor Evoked Potentials (MEPs), Brainstem Auditory Evoked Potentials (BAEPs), Electroencephalograms (EEGs), and Electromyography (EMGs). As part of the operating room team, monitoring clinicians provide valuable informations and support to the surgical team during critical moments in the procedure.

Physiologic Assessment Services Intraoperative Neuromonitoring

Physiologic Assessment Services LLC is proud to offer cutting edge intraoperative neuromonitoring services with a dedicated staff of university-trained professionals. With the latest and most up-to-date equipment and technologies, we have monitored over 75,000 procedures in the metropolitan New York & New Jersey region. IONM has become the gold standard in most hospitals that provide neurologic, orthopedic, and cardiothoracic surgical services. Our mission is to provide critical information to help keep patients safe and neurologically intact under the adverse conditions posed during delicate surgeries. Our staff of experienced neurophysiologists has grown significantly in recent years to accommodate the growing demand for intraoperative neuromonitoring.

For more information regarding IONM companies and our services, please email us or call 201-862-9900.

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