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The Use of Reflex Responses for IOM

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

There are three goals for intraoperative neurophysiologic monitoring. The first is to reduce the risk of neurologic complications by detecting insult to neuronal structures. The second is to provide guidance that may affect a surgeon’s approach or actions, such as mapping the location of sensory and motor tracts within the spinal cord. The third is to perform studies detailed enough to help understand normal and pathophysiologic function. Intraoperative reflex techniques are used to help accomplish these three goals. They are used to monitor the function of peripheral nerve, plexus, nerve root, and segmental and suprasegmental function. These reflex techniques will be reviewed in this chapter.

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Authors and Affiliations

  1. Clinical Neurophysiologist, Knoxville Neurology Clinic, 2200 Sutherland Avenue, Knoxville, TN, 37919, USA

    Ronald Leppanen Ph.D.

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  1. Ronald Leppanen Ph.D.
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Correspondence to Ronald Leppanen Ph.D. .

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  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Antoun Koht

  2. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Tod B. Sloan

  3. Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA

    J. Richard Toleikis

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Leppanen, R. (2017). The Use of Reflex Responses for IOM. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-319-46542-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-46542-5_8

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