Intraoperative Neuromonitoring: Principles and Considerations for Perioperative Nurses. (27th June 2019)

• Record Type: Journal Article
• Authors: Roth, Michael; Rakers, Leah
• Is Part Of: AORN journal. Volume 110:Number 1(2019)
• Page Start: 11
• Page End: 26
• Publication Date: 2019-06-27
• Subjects: intraoperative neuromonitoring (IONM) -- evoked potentials -- electromyography (EMG) -- cranial nerve -- electroencephalography (EEG); Operating room nursing -- Periodicals; Soins infirmiers en salle d'opération -- Périodiques; Nursing -- Periodicals; Operating Room Nursing -- Periodicals; Perioperative Nursing -- Periodicals; Societies, Nursing -- Periodicals; 617.917
• DOI: 10.1002/aorn.12726
• Languages: English
• ISSNs: 0001-2092

Abstract

ABSTRACT: Intraoperative neuromonitoring (IONM) is a method used to warn the surgeon of impending neurological damage while it can still be corrected, ideally preventing a permanent neurological deficit in the surgical patient. It was originally used in neurosurgery, but now also applies to other surgical specialties. Comprehensive monitoring of a patient's neurological status requires using a variety of approaches. The IONM tests most frequently used in the OR are somatosensory evoked potentials; transcranial electrical motor evoked potentials; electromyography, including cranial nerve monitoring; and electroencephalography. With its increased use during a variety of operative and other invasive procedures, most perioperative nurses will be exposed to IONM at some point in their careers. This article provides perioperative nurses with a basic understanding of IONM, including the framework, purpose, associated terminology, and nursing implications.