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Surgery in the Peripheral Nervous System

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

Abstract

There are many reasons to record from peripheral nerve in an operating room setting. These include “monitoring” functions for the purpose of providing an ongoing evaluation of peripheral nerve function during procedures that place the nerve at risk. Examples of such procedures would be hip replacement surgery, thyroid/parathyroid surgery, and any procedures that would place peripheral nerves at exaggerated risk for positioning palsies. These recordings will have much in common with recordings made for the purpose of facilitating diagnosis of a nerve lesion. The latter is perhaps a more significant reason to record from peripheral nerve, to provide diagnostic information relating to nerve injury. The purpose of this chapter is to provide emphasis on this subject. In this case, recordings obtained during surgery can provide definitive information that allows the surgeon to make informed decisions. An accurate diagnosis of a peripheral nerve problem at the time of surgery allows the surgeon to provide the optimal method to deal with the pathology.

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Author information

Authors and Affiliations

  1. Departments of Neurology and Neurosurgery, LSU Health Science Center, New Orleans, LA, USA

    Leo T. Happel

Authors
  1. Leo T. Happel
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Correspondence to Leo T. Happel .

Editor information

Editors and Affiliations

  1. Director, Neurosurg Anes Fellowship Prog, Professor, Department of Anesthesiology Chief, Neurosurgical Anesthesia, Chicago, Illinois, USA

    Antoun Koht

  2. Univ of Colorado School of Medicine, Professor Department of Anesthesiology, Aurora, Colorado, USA

    Tod B. Sloan

  3. Director,, Associate Professor Department of Anesthesiology, Chicago, Illinois, USA

    J. Richard Toleikis

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Happel, L.T. (2012). Surgery in the Peripheral Nervous System. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-0308-1_35

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  • DOI: https://doi.org/10.1007/978-1-4614-0308-1_35

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4614-0307-4

  • Online ISBN: 978-1-4614-0308-1

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