术中神经电生理监测技术的应用及麻醉进展
作者: |
1李文鹏,
1李恩有
1 哈尔滨医科大学附属第一医院麻醉科,哈尔滨 150001 |
通讯: |
李恩有
Email: enyouli@sina.com |
DOI: | 10.3978/j.issn.2095-6959.2019.08.034 |
摘要
近年来,术中神经电生理监测(neurophysiologic intraoperative monitoring,IONM)在外科手术中被广泛应用,并可以明显改善患者预后。IONM在为患者带来安全保障的同时,也为麻醉医生的术中麻醉管理带来了挑战。在术中针对不同种类的IONM技术调整相应的麻醉管理方案,将有助于预防手术并发症的发生。
关键词:
术中神经电生理监测;脑电图;肌电图;运动诱发电位;体感诱发电位;神经外科手术麻醉
New trends of utility and anesthetic implications in intraoperative neurophysiologic monitoring
CorrespondingAuthor: LI Enyou Email: enyouli@sina.com
DOI: 10.3978/j.issn.2095-6959.2019.08.034
Abstract
In recent years, intraoperative neurophysiological monitoring (IONM) has been used more and more frequently in a great number of surgical procedures and has been shown to significantly improve patient recovery. IONM brings safety to patients while also challengs in intraoperative anesthesia management of anesthesiologist. Adjusting the corresponding anesthesia management program for different types of IONM technology during surgery will help prevent surgical complications.
Keywords:
intraoperative neurophysiologic monitoring; electroencephalography; electromyography; motor evoked potentials; somatosensory evoked potentials; neurosurgical anesthesia