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Peripheral Nerve Monitoring

  • Amit Prabhakar
  • Kenneth Mancuso
  • Jonathan Lissauer
  • Alan David Kaye
  • Scott Francis Davis
Chapter

Abstract

The peripheral nervous system is comprised of a complex and vast network of nerves that work synergistically to achieve unique functions in the human body. Neuronal diversity lends nerves in this system to be vulnerable to a variety of injury types that have different management strategies. Peripheral nerve monitoring has been proven to be a useful asset for intraoperative management of nerve lesions. Physical examination alone of nerve lesions has been shown to be an unreliable and often misleading method to assess nerve integrity and regeneration. Intraoperative peripheral nerve assessment provides clinicians with unique, real-time information that is otherwise unavailable via preoperative nerve examination. This additional information can help to guide clinical decision-making and subsequently improve patient outcomes. This chapter will provide a brief overview of the physiology and anatomy of the peripheral nervous system, review nerve injury classifications, and detail the equipment and techniques utilized for effective intraoperative peripheral nerve assessment.

Keywords

Neuropathy Fibril Neuroma 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Amit Prabhakar
    • 1
  • Kenneth Mancuso
    • 2
  • Jonathan Lissauer
    • 3
  • Alan David Kaye
    • 4
    • 5
    • 6
  • Scott Francis Davis
    • 7
  1. 1.Emory University School of Medicine, Department of Anesthesiology, Division of Critical CareAtlantaUSA
  2. 2.University Medical Center New Orleans, Department of AnesthesiologyNew OrleansUSA
  3. 3.Department of Anesthesiology, School of Medicine, Louisiana State University Health Sciences CenterNew OrleansUSA
  4. 4.Departments of Anesthesiology and Pharmacology, Toxicology, and NeurosciencesLSU School of MedicineShreveportUSA
  5. 5.LSU School of MedicineDepartment of AnesthesiologyNew OrleansUSA
  6. 6.Tulane School of MedicineNew OrleansUSA
  7. 7.Department of AnesthesiologyLouisiana State University School of Medicine, Tulane University School of MedicineNew OrleansUSA

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