Intraoperative Neurophysiologic Monitoring

Edwards, Bruce M.; Kileny, Paul R.; Kovach, Deborah J.; McCue, Jennifer; Constance,

doi:10.1044/leader.ftr1.09062004.4

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…While IONM as a surgical aid is venerable, its use on a wide scale is a relatively recent phenomenon, dating primarily to the last quarter of a century (O'Brien, 2008). A case study of one US hospital network, the University of Michigan Health System, documented the growth of IONM from a single usage in 1984 to 73 in 1990, 152 in 2000, and 228 in 2003, the final year of the study (Edwards et al, 2004). If currently expressed attitudes are a reliable indication of future trends, IONM will only continue to grow in popularity.…”

Section: A Brief History Of Ionm and A Summary Of Its Explosive Growtmentioning

confidence: 99%

The medico-legal and ethical considerations associated with intraoperative neurophysiological monitoring in the USA: overview and proposed guidelines for legal and risk management professionals

Wiggins¹,

Sherman²,

Pierson³

2013

IJLSE

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Intraoperative neurophysiological monitoring, known by the acronym IONM, is a method for monitoring and recording the inner neurological activity of a patient undergoing surgery. When using conventional means of monitoring, neurological damage during surgery may go undetected. IONM prevents this by indicating what is going on within a patient, often in real time, enabling surgeons to change course during surgery. Although IONM offers benefits, its use should not be undertaken without regard to the legal and regulatory issues involved. These include contractual, malpractice, and products liability concerns. In the USA, where healthcare providers are seen as 'deep pockets', these issues must be approached with due care. Healthcare risk-management professionals should take precautions that ensure IONM use will be efficacious and utilised in a manner that minimises the risks inherent in the introduction of new technologies into heavily litigated fields. This paper provides professionals with legal strategies for accomplishing this task.

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Section: A Brief History Of Ionm and A Summary Of Its Explosive Growtmentioning

confidence: 99%

The medico-legal and ethical considerations associated with intraoperative neurophysiological monitoring in the USA: overview and proposed guidelines for legal and risk management professionals

Wiggins¹,

Sherman²,

Pierson³

2013

IJLSE

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“…Feedback is then given to the surgeon after the IONM responses are analysed. (2) Since there is no regulation or national guideline available regarding the provision of IONM services in South Africa, in effect any individual can provide this service. In practical terms, there are currently three popular "avenues" in South Africa by which IONM services are provided.…”

Section: Introductionmentioning

confidence: 99%

The Ethical Aspects of Intraoperative Neuromonitoring: Who Should Be Performing It?

Nel¹,

Labuschagne²,

Wareham³

2021

Wits Journal of Clinical Medicine

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South African legal and ethical guidelines direct health-care professionals to perform their duties in a manner that is acceptable within society. In South Africa, there is no minimum defined training or accreditation required to perform intraoperative neuromonitoring (IONM) nor is registration with the Health Professionals Council of South Africa (HPCSA) a prerequisite. It is therefore important to explore the ethical and legal aspects of this practice, particularly, since patients undergoing IONM are often vulnerable and need extra protection. We argue that the development of national guidelines sanctioned by a society or association with oversight from the HPCSA should be developed. In addition, independent providers of IONM should be governed as "health-care professionals" accountable to the HPCSA. This would ensure that the practice of IONM is better aligned with the ethical principles accepted by society.

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