Podcasts about neuromonitoring

Authors Rich Vogel, PhD, DABNM, FASNM and Eric D. Fader, JD discuss their recent article, "OIG Advisory Opinion Cautions Against 'Surgeon Deals' in Neuromonitoring" with moderator Alex P. Michael, MD. Vogel is in Nashville, TN; Fader is in Guilford, CT; Michael is in St. Louis, MO Link to the full article:  https://spinelinemag.spine.org/marapr24/section-spotlight

Podcast host and Neuro Pathway recruiter Scott Mohr with some awesome people at ASNM 2024.

1. Synthetic cage vs. allo/autograft in ACDF. 2. Unplanned re-operation in Adult Spinal Deformity surgery. 3. ALIF vs TLIF at L5-S1. 4. Spinal Cord Shape and Intra-operative Neuromonitoring

Ceribell's rapid seizure triage product for critical care received FDA's Breakthrough Designation with an exclusive New Technology Add-on Payment (NTAP) from CMS. Everything about the ClarityPro product—from the innovative EEG headband to the EEG recorder and physician portal has been engineered to enable quick detection and response to non-convulsive seizure in a critical care or ED setting. In this episode of the Medtech Talk podcast, host Geoff Pardo speaks with Jane Chao, CEO of Ceribell, about the path to develop an innovative new product and her personal journey as well.  Chao's own story started with a love of numbers, a highly exclusive spot earned in a prestigious chemistry program in Beijing, a Ph.D. in biophysics, a stint in documentary film making, and roles at McKinsey, Novartis, and Genentech. For Ceribell's genesis, Chao took lessons from all of those experiences—empathy sharpened while filming a documentary on migrant workers in China, business knowledge gained at McKinsey, and a rich, interdisciplinary scientific background—to launch a new medtech business and engineer a new device to meet a critical, unmet medical need.  Medtech Talk Links:  Cambridge Healthtech Institute   Medtech Talk Gilde Healthcare  

In this episode we delve into the neuromonitoring side of neurodiagnostics with Rich Vogel, PhD. Dr. Vogel is a Past President of the ASNM and is also the current President Elect. Rich shares with us his thoughts on his old Blog, his goals for the ASNM and how things changed as he lead the society during the pandemic, the benefits of membership in the ASNM, winning the Founder's Award, his podcast “Stimulating Stuff”, and much more!

Ask the Experts: Classifying Clinical Outcomes in the Context of Neuromonitoring Data Richard Vogel, PhD, DABNM Adam Doan, DC, DABNM Anthony K. Sestokas, PhD

“We are Neurodiagnostic professionals We solve problems you don't know you have With waves you can't understand.” -Bankole Murtala, R.EEG.T, scientist, poet Bankole Murtala works as a scientist and EEG technologist in Lagos, Nigeria. Bankole recently joined us on the IONM4LIFE: Adventures in Neuromonitoring podcast to talk about his work with epilepsy patients and his … Read more "Bakole Murtala"

Lead author Jared D. Ament, MD, discusses his recent NASSJ article, "Intraoperative Neuromonitoring in Spine Surgery: Large Database Analysis of Cost-Effectiveness," with NASSJ deputy editor Tobias Mattei, MD. Ament is a neurosurgeon at Neurosurgery & Spine Group of West Hills, CA; Mattei is a neurosurgeon at St. Louis University's School of Medicine

Tune in for today's industry updates.

Sophie Heisler und Prof. Mantke besprechen das kontinuierliche Neuromonitoring in der Schilddrüsenchirurgie. Eine Metaanalyse aus Australien steht in dieser Folge im Mittelpunkt. Ku D, Hui M, Cheung P, Chow O, Smith M, Riffat F, Sritharan N, Kamani D, Randolph G. Meta-analysis on continuous nerve monitoring in thyroidectomies. Head Neck. 2021 Dec;43(12):3966-3978. doi: 10.1002/hed.26828. Epub 2021 Aug 3. PMID: 34342380.

Welches ist die optimale Anästhesie für Carotis-Operationen ? Gibt es die überhaupt? Was ist beim Neuromonitoring zu beachten. Wir gehen dem Ganzen auf den Grund. Der Beitrag „titriert“ Operationen der Carotis erschien zuerst auf pin-up-docs - don't panic.

Between Season 4 and 5, we're going to be throwing back to some exciting interviews from Season 1! What is that tech doing over in the corner of the Operating Room on their computer? If you've ever wondered just what was going on, then you're not alone. We work alongside neuromonitoring techs in many different cases, but may of us don't know exactly what it is that they're doing throughout the procedure. On this week's episode of First Case, we explore the interesting world of neuromonitoring with Jake Kidd, COO at The Phoenix. Listen in as he explains what neuromonitoring is, what training is required for the technicians, and the important role that neuromonitoring plays in surgical procedures. Ready to learn? Let's get going!   Love our show? Download the First Case mobile app on:

John Ingram – Vice President and Managing Partner of United Human Resources. He talks about the neuromonitoring hiring game with the IONM4LIFE podcast. How can both neuromonitoring companies and candidates win?

Severe TBI is a difficult, frustrating condition to treat. The secondary injury process occurs despite our best efforts: and our monitoring tools are incredibly blunt. Physiological parameters change when it's too late: ICP is a localised and at times unreliable measure. CPP is two steps away from cerebral blood flow. […]

Was sind kalte und warme Knoten? Sind sie gefährlich? Welche Schilddrüsenprobleme können mit Medikamenten behandelt werden? Wann muss operiert werden? Und warum ist Neuromonitoring dabei so wichtig? Diese und viele weitere Fragen um Symptome, Diagostik und Behandlung von Schilddrüsenerkrankungen beantwortet Priv.-Doz. Dr. Marcus Overhaus im Gespräch mit Sabine Lerche. Experte: Priv.-Doz. Dr. med. Marcus Overhaus, Chefarzt Allgemein- und Viszeralchirurgie, Minimalinvasive Chirurgie, St. Hildegardis Krankenhaus Köln Moderation: Sabine Lerche, Kölner Krankenhaussender e.V.

Use of neuromonitoring during spinal cord stimulator surgery varies significantly across the US. In some regions, multimodality neuromonitoring is used routinely for all procedures. In other regions, it's rarely used at all. With more than a decade of research on the utility of IONM for SCS placement, Dr. Falowski is interviewed by Dr. Vogel about the results of his research. Richard Vogel, PhD, DABNM- Neurological Monitoring Associates, LLC, Milwaukee, WI Stephen M. Falowski, MD- St. Lukes University Health Network, Bethlehem, PA Disclosures: Falowski, Steven M.: Consulting: Abbott (F), Medtronic (E), Vertiflex (F), Vertoss (D); Stock Ownership: AGR (less than 1%), Celeri (less than 1%), Cornerloc (less than 1%), Neural Integrative Solutions (50%), Saluda (less than 1%), Spinethera (less than 1%), SPR (less than 1%), Stimgenics (less than 1%), Thermaquil (less than 1%). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President (2019-2020)); Other: NuVasive Clinical Services (Salary, employment ended May 2021); Stock Ownership: NuVasive (less than 1%). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Neuromonitoring is a widely accepted method for evaluating spinal cord and nerve root function in spinal deformity surgery; however, methods vary significantly in the US and around the world. In this episode, Dr. Simon Harris is interviewed for his perspective as an orthopedic spine surgeon who focuses on spinal deformity surgery in Toronto, Canada. Disclosures: Harris, Simon: Nothing to Disclose Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, Past President); Other: NuVasive Clinical Services (Salary). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Ask the Experts: A Lifelong Learning Series Adam Doan, DC, DABNM Richard Vogel, PhD, DABNM

May 2016 Neuromonitoring, Beyond the Anesthetic Technique by SNACC

Ask the Experts: A Lifelong Learning Series - Safety and Teamwork in Neuromonitoring: Where Can We Improve? Adam Doan, DC, DABNM Richard Vogel, PhD, DABNM

Fellows' and Residents' Audio Corner Learn from an expert! This is for residents, fellows, students and anyone wanting a quick review of how to manage a neuroanesthesia case. October 2017 Anesthesia for Neuromonitoring in Spine Surgery. Shobana Rajan, MD in conversation with Antoun Koht, MD

Fellows' and Residents' Audio Corner Learn from an expert! This is for residents, fellows, students and anyone wanting a quick review of how to manage a neuroanesthesia case. January 2018 Neuromonitoring for Intracranial Surgery. Shobana Rajan, MD in conversation with Antoun Koht, MD

Ask the Experts: A Lifelong Learning Series - The Therapeutic Value of Neuromonitoring F. Todd Wetzel, MD Adam Doan, DC, DABNM Richard Vogel, PhD, DABNM

Neuromonitoring is considered a crucial and fundamental process to monitor patients in critical care settings. In this podcast, ESICM NEXT member Denise Battagliani interviews Chiara Robba on the ultimate findings regarding neuromonitoring, including: basics of neuromonitoring research; indications for neuromonitoring of patients who do (not) suffer any direct brain injury; the rationale in neuromonitoring patients with sepsis, COVID-19 and liver failure and the most appropriate tools to use for each of this cohort of patients; the use of neuromonitoring tools during the perioperative period for neurosurgical patients and patients who undergo cardiac and vascular surgeries. Speakers Chiara ROBBA. Consultant in Neuro and General Intensive Care, Policlinico San Martino Genoa, (IT). Chair-Elect of the Neuro Intensive Care section of the ESICM. Denise BATTAGLINI. Consultant in intensive care at San Martino Policlinico Hospital, Genoa, Italy (IT). ESICM NEXT Committee Member.

Mózg jest - ze względu na swoją zależność od nieprzerwanego dopływu świeżych nośników energii oraz tlenu - najbardziej wrażliwym organem naszego ciała. Mimo to on - oraz reszta układu nerwowego - należą również do organów najrzadziej monitorowanych w naszym postępowaniu anestezjologicznym. Dziś krótki przegląd metod, wskazań do ich stosowania oraz przykładowych reakcji anestezjologa na kiepskie wartości wskazywane przez systemy monitorowania. Więcej na http://laryngoskop.eu/neuromonitoring

Based in Colorado, Assure Holdings (OTCQB: ARHH) works with neurosurgeons and orthopedic spine surgeons to provide services that support intra-operative neuromonitoring activities during invasive surgeries. CEO, John Farlinger, returns to the OTCQB Podcast to discuss how vital this technology has been in raising the bar for patient safety.

Joining me today are Aaron, Irene, and Owen, surgical neurophysiologists that are currently in the Intraoperative Neuromonitoring New Hire program at SpecialtyCare. In this episode, we discuss their individual motivations to enter the IONM field, what they were doing before IONM, and how they are handling the intensive training program at SpecialtyCare. Enjoy the conversation.

Dr. Cheryl Wiggins explains her role as an audiologist who works in the fascinating and sometimes mysterious world of intraoperative neuromonitoring. Her discussion with Dr. Sharp details the additional training required, differences from the traditional role of an audiologist, and what a career can look like in the world of IONM.

Use of neuromonitoring in cervical spine surgery varies significantly across the US and around the world. In some regions, multimodality neuromonitoring is used routinely for all procedures. In other regions, it's rarely used at all. In this episode, Dr. Todd Albert is interviewed for his perspective as an orthopedic spine surgeon. Disclosures: Albert, Todd J.: Board of Directors: American Orthopaedic Association (Nonfinancial, Treasurer-Elect), Hospital For Special Surgery (None, Surgeon-in-Chief Emeritus and Medical Director), Scoliosis Research Society (Nonfinancial, Past President); Consulting: Nuvasive (B); Other: JP Medical Publishers (B), Saunders/Mosby- Elsevier (B), Springer (A), Thieme Medical Publishers (B); Research Support (Staff and/or materials): PCORI (D); Royalties: DePuy Synthes Spine (F); Stock Ownership: ASIP (D), Augmedics (F), Biomerix (D, 42,253 Shares), Bonovo Orthopedics (D, 85,737 Shares), Crosstrees Medical (D,

In this era of evidence-based medicine, administrative claims databases are of interest because they allow us to evaluate complex questions with large numbers; but, they also have their drawbacks. Numerous studies have used these databases to examine neuromonitoring trends in the US. What have we learned from these studies, and where should future studies focus? In this episode, Section on IONM Member, Dr. John Ney, is interviewed by IONM Co-Chair Dr. Richard Vogel, for his perspective as a neurologist and health policy expert. Disclosures: Ney, John: Board of Directors: ASNM (A); Consulting: Ceribell (C), Ceribell (B); Other Office: American Academy of Neurology, Medical Economics and Management Committee (Travel reimbursement). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Other: Nuvasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Who are the different neuromonitoring societies, what role(s) do they play in patient care, where are they focusing their efforts, and what opportunities are there for inter-society collaboration? In this episode, NASS IONM Section Co-Chair, Dr. Richard Vogel, is interviewed in his role as Past-President of the American Society of Neurophysiological Monitoring (ASNM). Disclosures: Doan, Adam: Other: Nuvasive Clinical Services (Salary); Private Investments: Veridical RCM (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Other: Nuvasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

How many surgeries are monitored in the US each year? What portion are spine? Is use of IONM increasing or decreasing? What major trends do we see in the use of IONM in spine surgery, and what can we expect in the future? This episode hosted by Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan will answer all of these questions and more! Disclosures: Doan, Adam: Other: Nuvasive Clinical Services (Salary); Private Investments: Veridical RCM (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Other: Nuvasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topmedtalk.com/topmedtalk-computer-gamer-to-life-saver/ The Perioperative Quality Initiative (POQI) is here: www.poqi.org This piece covers cerebral oximetry with near-infrared spectroscopy (NIRS), often used during the perioperative period of cardiovascular operations. Article here: "American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on the Role of Neuromonitoring in Perioperative Outcomes" https://journals.lww.com/anesthesia-analgesia/Abstract/9000/American_Society_for_Enhanced_Recovery_and.95500.aspx We're celebrating Evidence Based Perioperative Medicine's (EBPOM) Dingle conference which holds a special place in the hearts of TopMedTalk listeners. We've covered it for the last few years in detail, making many hours of valuable educational information accessible to a global audience of thousands of medical professionals each week. If you'd like to find out more about EBPOM's groundbreaking online proposition please checkout www.ebpom.org Presented by Desiree Chappell and Monty Mythen with their guest Robert Thiele, Associate Professor, Departments of Anesthesiology and Biomedical Engineering, Division Chief, Critical Care Anesthesiology, Board of Directors, University Physicians Group, University of Virginia School of Medicine. He has a background in engineering and has been using technology to improve education since his residency in 2008. He is co-founder of www.OpenAnesthesia.org which lead to the development of Self-Study, and also authored one of the first iBooks focused on cardiac and critical care ultrasound.

This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topmedtalk.com/topmedtalk-computer-gamer-to-life-saver/ The Perioperative Quality Initiative (POQI) is here: www.poqi.org This piece covers cerebral oximetry with near-infrared spectroscopy (NIRS), often used during the perioperative period of cardiovascular operations. Article here: "American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on the Role of Neuromonitoring in Perioperative Outcomes" https://journals.lww.com/anesthesia-analgesia/Abstract/9000/American_Society_for_Enhanced_Recovery_and.95500.aspx We're celebrating Evidence Based Perioperative Medicine's (EBPOM) Dingle conference which holds a special place in the hearts of TopMedTalk listeners. We've covered it for the last few years in detail, making many hours of valuable educational information accessible to a global audience of thousands of medical professionals each week. If you'd like to find out more about EBPOM's groundbreaking online proposition please checkout www.ebpom.org Presented by Desiree Chappell and Monty Mythen with their guest Robert Thiele, Associate Professor, Departments of Anesthesiology and Biomedical Engineering, Division Chief, Critical Care Anesthesiology, Board of Directors, University Physicians Group, University of Virginia School of Medicine. He has a background in engineering and has been using technology to improve education since his residency in 2008. He is co-founder of www.OpenAnesthesia.org which lead to the development of Self-Study, and also authored one of the first iBooks focused on cardiac and critical care ultrasound.

On this episode, we talk to a cohort of intraoperative neuromonitoring new-hires. We discussed what led them to the field, what the interview process entailed, and how the formal training that SpecialtyCare provides surpasses others in the industry.

Featuring: F. Todd Wetzel, MD, John Ney, MD, Tara Stewart, PhD, DABNM Disclosures: Wetzel, F. Todd: Stock Ownership: Relievant Medical (1%). Ney, John: Board of Directors: American Society for Neuromonitoring (None); Consulting: Ceribell (B), SpecialtyCare (B); Other Office: American Academy of Neurology, Medical Economics and Management Committee (Travel Expense Reimbursement); Speaking and/or Teaching Arrangements: SpecialtyCare (Travel Expense Reimbursement). Stewart, Tara: Private Investments: IONM Life LLC (Future Compensation Expected, Paid directly to institution/employer) Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[12 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Are wakeups always prolonged with neuromonitoring under TIVA?” It's a common complaint: we use TIVA for MEPs, but the patients take forever to wake up from anesthesia. To combat this problem, many surgeons elect to discontinue IONM earlier in the procedure. Did you know IONM has the technology to guide the anesthesia team through a faster wakeup in most cases? It requires communication and collaboration, but it's easy to do. Here we review these techniques. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[11 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Neuromonitoring lost their signals, now what?” Aside from checking wires and anesthesia, what else works? It turns out there is a lot one can do to restore signals. Here the Co-Chairs review these checks and interventions. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[10 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss, "Diagnostic accuracy of IONM from the neurophysiologist's perspective." They review the traditional diagnostic table (i.e., ± alert, ± deficit) and consider other factors like intervention, resolution of data, type of monitoring modality, etc. They also present an advanced diagnostic table that is inclusive of these factors. This has major implications for developing and interpreting research. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[9 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Is it really an alert? Whence the criteria?” The criteria for calling an alert in IONM have evolved over the years and many people don't know what the latest research says. This causes a lot of false positives (and some false negatives). We review what really constitutes an alert and how you can use IONM to improve accuracy. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[8 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Section Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “What can you do to improve accuracy of pedicle screw stimulation?” Pedicle screw stimulation was developed and tested under very specific methods, but very few people follow these methods, and this reduces the accuracy. We return to the basics and make recommendations that help even the most seasoned practitioner. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Professor Andrew Udy: Emerging neuromonitoring techniques in TBI. From CICM ASM PROGRAM 2019.  

[7 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Are there any real contraindications to MEPs?” This episode, the Co-Chairs cut through the common myths associated with MEP contraindications: there are no absolute contraindications and all of the relative contraindications have actually been shown to be quite safe. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[6 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “How can you use neuromonitoring to guide and optimize positioning for spine surgery?” The patient is finally in position and neuromonitoring can't get baselines. What do you do? If you elect to intervene, it's a long process to retest baselines in a neutral position. Then, you have to reposition all over again. Here the Co-Chairs present a fast, efficient, systematic way to position a patient for any spine surgery to ensure the spinal cord is stable, and all peripheral nerves and plexi are not compressed or stretched. Also, they talk about positioning possibilities for all patients; not just those with unstable spines. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

What is that person doing in the corner of the room anyway? Why do they have to stick needles all over my patient? Is this some weird acupuncture thing?? We’ll figure it all out. The post Intraoperative Neuromonitoring appeared first on NeuroTutorials.

"This article provides perioperative nurses with a basic understanding of IONM, including the framework, purpose, associated terminology, and nursing implications." [https://aornjournal.onlinelibrary.wiley.com/doi/full/10.1002/aorn.12726]

[5 of 12] Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Does use of IONM necessarily add time to your surgery?” The short answer is yes, but a closer look will show that it is negligible if the IONM team can work efficiently and in collaboration with the rest of the patient care team in the operating room. We'll discuss how setup can be optimized, and how baselines can be acquired in as little as 30 seconds. We'll also show how improved communication can reduce false positives and keep the surgery moving smoothly. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[4 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, "What are the anesthetic recommendations for neuromonitoring in various spine surgeries and why?” The Co-Chairs discuss when and why they recommend total intravenous anesthesia (TIVA) vs 0.5 MAC. Is Ketamine really beneficial to MEPs? Why is Precedex contraindicated for MEPs? What train-of-four ratio is recommended for monitoring, when and why? They'll answer all these questions and more. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[3 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “Why does IONM need access to my patients and their charts before and after surgery?” It's not uncommon for hospitals/surgeons to prohibit the IONM team from interfacing with the patient before surgery. In addition to needing informed consent, the team needs to assess the patient's neuro status and history to interpret the IONM data. Imaging/charts help to develop an appropriate IONM plan. Facesheets are essential to reimbursement. When the IONM team is unable to access patient records, they are monitoring in the dark (and for free). Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[2 of 12] Hear from Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, "Neuromonitoring in spine surgery, can't anyone cover the case?" Did you know IONM is learned through on-the-job training, licensure does not exist, and certifications are not required for the technologist in your OR? After initial training, technologists can monitor very basic cases (e.g., PLIF), but they should spend years in training to learn more complex procedures (deformity, tumors). If a surgery isn't booked accurately, the surgeon might get a very junior person assigned to a very complex case. Here we inform the listener of common practices around determining “competency” for performing IONM in spine surgery. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

Featuring: Richard Vogel, PhD, DABNM, Adam Doan, DC, DABNM, Anthony K. Sestokas, PhD, DABNM Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Sestokas, Anthony K.: Other Office: Journal Of Clinical Monitoring And Computing (Editorial board), NASS Section On Intraoperative Neuromonitoring (Member of Section on IONM), SpecialtyCare (F, Chief Clinical Officer - IONM; Salary); Stock Ownership: KSPC Holdings (C) Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

[1 of 12] Hear Section on Intraoperative Neurophysiological Monitoring (IONM) Co-Chairs Dr. Rich Vogel and Dr. Adam Doan discuss the question, “What information is critical to communicate to the IONM team and how far in advance of surgery?” It's not uncommon for the IONM team to learn the details of the surgical procedure after incision, as it unfolds. This poses a number of problems. The IONM team needs to know detailed surgical plan, diagnosis and patient insurance information at least 48-hours in advance for non-emergent surgery. This will make IONM less likely to fail because the IONM team can make sure the correct equipment/electrodes/people are in the room, and the correct tests are being run with optimized anesthesia. This will also limit common issues with insurance. Disclosures: Doan, Adam: Private Investments (including venture capital, start-ups): Veridical RCM, LLC (D). Vogel, Richard: Board of Directors: American Board Of Neurophysiologic Monitoring (Nonfinancial, Examiner for Board), American Society Of Neurophysiological Monitoring (Nonfinancial, President of the Society (2019-2020)); Consulting: Medicolegal Expert Witness Consulting (D); Other: NuVasive (Salary); Speaking and/or Teaching Arrangements: Neurophysiology Services Australia (None); Trips/Travel: North American Spine Society (Travel Expense Reimbursement), University Of Sydney (Travel Expense Reimbursement). Key: A: $100-$1,000; B: $1001-$10,000; C: $10,001-$25,000; D: $25,001-$50,000; E: $50,001-$100,000; F: $100,001- $500,000; G: $500,001-$1M; H: $1,000,001- $2.5M; I: $2.5M+

In this 103rd episode I welcome Dr. Eva Ritzl and Dr. Alyson Russo to the show to discuss intraoperative neuromonitoring. Reference: Solt K and Froman S. Correlating the clinical actions and molecular mechanisms of general anesthetics. Curr Op in Anaes. 2007:20(4);300-306.

Martin -PRO- : The management of severe traumatic brain injury (TBI) has undergone extensive revision following evidence that longstanding and established practices are not as efficacious or innocuous as previously believed. Very few specific interventions have been shown to improve outcome in large randomized controlled trials and, with the possible exception of avoidance of hypotension and hypoxaemia, most are based on observational studies or analysis of physiology and pathophysiology. Further, the substantial temporal and regional pathophysiological heterogeneity after TBI means that some interventions may be ineffective, unnecessary or even harmful in certain patients at certain times. Improved understanding of pathophysiology and advances in neuromonitoring and imaging techniques have led to the introduction of more effective and individualised treatment strategies that have translated into improved outcomes for patients. In particular, the sole goal of identifying and treating intracranial hypertension has been superseded by a focus on the prevention of secondary brain insults using a systematic, stepwise approach to maintenance of adequate cerebral perfusion and oxygenation. As well as being used to guide treatment interventions, multimodal neuromonitoring also gives clinicians confidence to withhold potentially dangerous therapy in those with no evidence of brain ischemia/hypoxia or metabolic disturbance. The days of blind adherence to generic physiological targets in the management of severe TBI have been replaced by an individualised approach to optimisation of physiology which has translated into improved outcomes for patients.   Mark -CON- : The New England Journal of Medicine has published a number of articles recently that demonstrate no benefit from classic neurotrauma interventions (ICP monitoring, cooling, decompression). This is because factors such as ICP and CPP are associated with bad outcome by association rather than causation. This debate will demonstrate that critical care just complicates things and it is high time for the randomised trial between the very best Neurocritical care and NOB therapy (Naso-pharyngeal, Oxygen and a Blanket).

Neuroprotection and neurotoxicity, Neuromonitoring in CEA

Wie kann das Neuromonitoring Eingriffe am Kopf unterstützen? Sind Honorarärzte nur eine Modeerscheinung oder gehört ihnen die Zukunft? Wozu ist die Fernsehübertragung aus dem Rettungswagen gut? Die Antworten hören Sie in der Sonderausgabe unseres Podcasts zum Deutschen Anästhesiecongress 2009. Außerdem: Das Interview mit dem Kongresspräsidenten Prof. Boldt über Nachwuchsmangel und Perspektiven in der Anästhesie.