Skip to main content

Intraoperative Monitoring of Evoked Potentials

  • Chapter

Abstract

Evoked potentials (EPs), the electrophysiologic responses of the nervous system to stimulation, permit monitoring of the functional integrity of neurologic pathways when clinical monitoring is hampered by general anesthesia or coma. Intraoperative EP monitoring is now commonplace in many medical centers throughout the world. To use these techniques to best advantage, one must appreciate several important principles. This paper reviews key concepts in monitoring and describes key criteria for assessing EPs as monitors in the operating room. In conclusion, guidelines for avoiding “false positives” and “false negatives” are outlined.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Beecher HK (1940) The first anesthesia records (Codman, Cushing). Surg Gynecol Obstet 71: 689

    Google Scholar 

  2. Bendixen HH (1978) A forward: the tasks of the anesthesiologist. In: Saidman LJ, Smith NT (eds) Monitoring in anesthesia. Wiley, New York, pp 227–267

    Google Scholar 

  3. MacEwen GD, Bunnell WP, Sriram K (1975) Acute neurological complications in the treatment of scoliosis: a report of the Scoliosis Research Society. J Bone Joint Surg 57 A: 404

    Google Scholar 

  4. Steed DL, Peitzmann AB, Grundy BL et al (1982) Causes of stroke in carotid endarterectomy. Surgery 92: 634

    CAS  PubMed  Google Scholar 

  5. Grundy BL, Lina A, Procopio PT, Jannetta PJ (1981) Reversible evoked potential changes with retraction of the eighth cranial nerve. Anesth Analg 60: 835

    CAS  PubMed  Google Scholar 

  6. Grundy BL, Jannetta PJ, Procopio PT et al (1982) Intraoperative monitoring of brain-stem auditory evoked potentials. J Neurosurg 57: 674

    Article  CAS  PubMed  Google Scholar 

  7. Mahla ME, Long DM, McKennett J, Green C et al (1984) Detection of brachial plexus dysfunction by somatosensory evoked potential monitoring — A report of two cases. Anesthesiology 60: 248

    Article  CAS  PubMed  Google Scholar 

  8. Grundy BL (1982) Monitoring of sensory evoked potentials during neurosurgical operations: methods and applications. Neurosurgery 11: 556

    Article  CAS  PubMed  Google Scholar 

  9. Grundy BL (1983) Intraoperative monitoring of sensory evoked potentials. Anesthesiology: 58: 72

    Article  CAS  PubMed  Google Scholar 

  10. Gravenstein MA, Sasse F, Hogan K (1984) Effects of stimulus rate and halothane dose on canine far-field evoked potentials. Anesthesiology 61: A 342

    Google Scholar 

  11. Friedman WA, Grundy BL (1987) Monitoring of sensory evoked potentials is highly reliable and helpful in the operating room. J Clin Monit 3: 38

    Article  CAS  PubMed  Google Scholar 

  12. Grundy BL, Procopio PT, Jannetta PJ et al (1982) Evoked potential changes produced by positioning for retromastoid craniectomy. Neurosurgery 10: 766

    Article  CAS  PubMed  Google Scholar 

  13. Kaplan BJ, Friedman WA, Alexander JA, Hampson SR (1986) Somatosensory evoked potential monitoring of spinal cord ischemia during aortic operations. Neurosurgery 19: 82

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Wien

About this chapter

Cite this chapter

Grundy, B.L. (1988). Intraoperative Monitoring of Evoked Potentials. In: Grundy, B.L., Villani, R.M. (eds) Evoked Potentials. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4431-2_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-4431-2_2

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82059-9

  • Online ISBN: 978-3-7091-4431-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics