Details

Autor(en) / Beteiligte

• Jameson, Leslie C.
• Clavijo, Claudia F.
• Mahajan, Charu
• Prabhakar, Hemanshu
• Kapoor, Indu

Titel

Neuromonitoring

Ist Teil von

• iEssentials of Geriatric Neuroanesthesia, 2019, p.173-188

Auflage

1

Ort / Verlag

CRC Press

Erscheinungsjahr

2019

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Corrective spine surgery was associated with the treatment of adolescent scoliosis but today, with the increasing geriatric population and advances in surgical techniques, many elderly patients can safely undergo complex axial skeletal and neurosurgical surgery. This change in the population's age distribution means the increased surgical procedures will require more intraoperative neurophysiologic monitoring (IONM) to guide surgical decisions from spinal cord stress to awake intracranial brain mapping. Increase of medical comorbidities is a natural and inevitable process during aging. Patients with neurologic disease present a challenge for IONM physicians and anesthesiologists during surgical procedures. Geriatric patients are often on multiple chronic pain medications including narcotics and antiseizure medications, such as pregabalin and gabapentin. They often have frailty and are at increased risk of perioperative complications due to decreased physiologic reserve. The aging spinal cord experiences changes that increase the difficulty of obtaining IONM.