Somatosensory-Evoked Potential Monitoring Detects Iliac Artery Occlusion During Posterior Spinal Fusion

Haghighi, Siavash S.; Zhang, Richard; Ramirez, Bertha

doi:10.1097/brs.0b013e318286f239

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…[147] Several case reports have demonstrated that SSEP combined with pulse oximetry monitoring of the left great toe is highly valuable in detecting left iliac artery occlusion in anterior spinal procedures. [148][149][150][151] Baseline neurophysiological recordings should be obtained after induction of anesthesia but prior to incision to compare changes in signals during surgery (Table 16). [152] 3.1.15.…”

Section: Quality Of Evidence: High Recommendation Grade: Strong Intra...mentioning

confidence: 99%

Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review

Meyrat,

Vivian,

Sridhar

et al. 2023

Medicine

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The anterior lumbar interbody fusion (ALIF) procedure involves several surgical specialties, including general, vascular, and spinal surgery due to its unique approach and anatomy involved. It also carries its own set of complications that differentiate it from posterior lumbar fusion surgeries. The demonstrated benefits of treatment guidelines, such as Enhanced Recovery after Surgery in other surgical procedures, and the lack of current recommendations regarding the anterior approach, underscores the need to develop protocols that specifically address the complexities of ALIF. We aimed to create an evidence-based protocol for pre-, intra-, and postoperative care of ALIF patients and implementation strategies for our health system. A 12-member multidisciplinary workgroup convened to develop an evidence-based treatment protocol for ALIF using a Delphi consensus methodology and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for rating the quality of evidence and strength of protocol recommendations. The quality of evidence, strength of the recommendation and specific implementation strategies for Methodist Health System for each recommendation were described. The literature search resulted in 295 articles that were included in the development of protocol recommendations. No disagreements remained once the authors reviewed the final GRADE assessment of the quality of evidence and strength of the recommendations. Ultimately, there were 39 protocol recommendations, with 16 appropriate preoperative protocol recommendations (out of 17 proposed), 9 appropriate intraoperative recommendations, and 14 appropriate postoperative recommendations. This novel set of evidence-based recommendations is designed to optimize the patient’s ALIF experience from the preoperative to the postoperative period.

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Section: Quality Of Evidence: High Recommendation Grade: Strong Intra...mentioning

confidence: 99%

Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review

Meyrat,

Vivian,

Sridhar

et al. 2023

Medicine

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“…Combination of SSEP with MEP significantly improves the efficacy of monitoring [58]. Other fields of SSEP application include orthopedic, vascular surgery and procedures on peripheral nerves [59][60][61][62][63][64].…”

Section: Monitoring During Spinal Surgerymentioning

confidence: 99%

Neurophysiological Monitoring during Surgery on the Central Nervous System: The Role of Evoked Responses

Soghomonyan

2015

IJAR

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Neurosurgical, orthopedic and vascular interventions may be associated with an inherent risk of ischemia and structural damage to the central nervous system. Along with other modalities used to monitor the intraoperative nervous function, registration of evoked responses is intended to provide real-time feedback about the functional integrity of the central nervous system and help to prevent avoidable trauma during surgery. In this review, the principal indications and limitations of monitoring various evoked responses during surgery on the brain and spinal cord are discussed. Current approaches, recent advances and problems associated with intraoperative rhomboid fossa mapping, cranial nerve stimulation and electrooculographic monitoring are presented as well. The authors discuss the effects of general anesthesia on evoked responses and possible ways to avoid signal variability during registration. It is emphasized that only with close cooperation between neurosurgeons, anesthesiologists and neurophysiologists it will be possible to maximize the benefits of intraoperative monitoring of evoked responses and avoid misinterpretation of the results.

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Change in somatosensory evoked potentials detect an acute arterial stent occlusion in lower extremity during spinal surgery: Case report

Palumbo

Francfort

Kakoulides

et al. 2023

Clinical Neurology and Neurosurgery

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Somatosensory-Evoked Potential Monitoring Detects Iliac Artery Occlusion During Posterior Spinal Fusion

Cited by 3 publications

References 13 publications

Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review

Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review

Neurophysiological Monitoring during Surgery on the Central Nervous System: The Role of Evoked Responses

Change in somatosensory evoked potentials detect an acute arterial stent occlusion in lower extremity during spinal surgery: Case report

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