Anaes Vivas · Neuroanaesthesia
Neuromonitoring — viva
Structured oral examination station for neuromonitoring-eeg-evoked-potentials.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
SSEP amplitude falling 50%; MEPs lost unilaterally during scoliosis correction; MAP 65 mmHg.
Opening
Treat as possible cord ischaemia; closed-loop with surgeon/neurophysiology.[5]
References5ShowHide
- [1]Goettel N, Bharadwaj S, Venkatraghavan L, et al. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: RCT. British Journal of Anaesthesia, 2016.PMID 27099154
- [2]Lewis SC et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA): multicentre RCT. Lancet, 2008.PMID 19041130
- [3]Davidson AJ et al. GAS trial 2-year neurodevelopmental outcomes after general vs awake-regional anaesthesia in infancy. Lancet, 2016.PMID 26507180
- [4]Walker CT, Kim HJ, Park P, et al. Neuroanesthesia Guidelines for Optimizing Transcranial Motor Evoked Potential Neuromonitoring During Deformity and Complex Spinal Surgery: A Delphi Consensus Study. Spine, 2020.PMID 32539292
- [5]Fehlings MG, Alvi MA, Evaniew N, et al. A Clinical Practice Guideline for Prevention, Diagnosis and Management of Intraoperative Spinal Cord Injury: Recommendations for Use of Intraoperative Neuromonitoring and for the Use of Preoperative and Intraoperative Protocols for Patients Undergoing Spine Surgery. Global Spine Journal, 2024.PMID 38526921