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Anesthesiology and Intraoperative Electrophysiological Monitoring

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Principles of Neurophysiological Assessment, Mapping, and Monitoring

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Abstract

The role of the anesthesiologist during procedures where intraoperative electrophysiological monitoring (IOM) is being performed involves anesthetic titration, attaining physiological homeostasis, and medical management of the patient. Further, the anesthesiologist participates in mitigating neural injury when the monitoring indicates that the nervous system may be at risk for injury. More specifically, the choice of anesthetic agents directly impacts the ability to reliably record IOM responses, and the physiological management (e.g., blood pressure) impacts on the reserve of the nervous system to tolerate procedural trespass. When altered responses indicate the health of the nervous system may be compromised, the insights of the anesthesiologist and the ability to improve the physiological reserve are keys to reducing neurological risk. This chapter discusses these aspects to improve integration of the anesthesiologist into the IOM monitoring team effort.

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Authors and Affiliations

  1. University of Colorado, Department of Anesthesiology, Aurora, CO, USA

    Tod Sloan

  2. Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, LSU School of Medicine, Shreveport, LA, USA

    Alan David Kaye

  3. LSU School of Medicine, Department of Anesthesiology, New Orleans, LA, USA

    Alan David Kaye

  4. Tulane School of Medicine, New Orleans, LA, USA

    Alan David Kaye

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Correspondence to Tod Sloan .

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Editors and Affiliations

  1. Department of Anesthesiology, Louisiana State University School of Medicine, Tulane University School of Medicine, New Orleans, LA, USA

    Scott Francis Davis

  2. Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, LSU School of Medicine, Shreveport, LA, USA

    Alan David Kaye

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Sloan, T., Kaye, A.D. (2020). Anesthesiology and Intraoperative Electrophysiological Monitoring. In: Davis, S., Kaye, A. (eds) Principles of Neurophysiological Assessment, Mapping, and Monitoring. Springer, Cham. https://doi.org/10.1007/978-3-030-22400-4_5

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