Anestesiología y Reanimación, Hospital Vithas Xanit Internacional, Benalmádena, Málaga, España.
Neurofisiología, Servicio de Neurocirugía, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2021 Feb;68(2):82-98. doi: 10.1016/j.redar.2020.02.010. Epub 2020 Jul 2.
The present work aims to establish a guide to action, agreed by anaesthesiologists and neurophysiologists alike, to perform effective intraoperative neurophysiological monitoring for procedures presenting a risk of functional neurological injury, and neurosurgical procedures. The first section discusses the main techniques currently used for intraoperative neurophysiological monitoring. The second exposes the anaesthetic and non-anaesthetic factors that are likely to affect the electrical records of the nervous system structures. This section is followed by an analysis detailing the adverse effects associated with the most common techniques and their use. Finally, the last section describes a series of guidelines to be followed upon the various intraoperative clinical events.
本研究旨在为麻醉师和神经生理学家制定一份行动指南，以对存在功能性神经损伤风险的手术和神经外科手术进行有效的术中神经生理监测。第一部分讨论了目前用于术中神经生理监测的主要技术。第二部分阐述了可能影响神经系统结构电记录的麻醉和非麻醉因素。接下来的部分详细分析了与最常见技术及其使用相关的不良反应。最后一部分描述了在各种术中临床事件中应遵循的一系列指南。
