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Erschienen in:

19.10.2019 | Guideline

A practical guide for anesthetic management during intraoperative motor evoked potential monitoring

verfasst von: Masahiko Kawaguchi, Hiroki Iida, Satoshi Tanaka, Naokazu Fukuoka, Hironobu Hayashi, Shunsuke Izumi, Kenji Yoshitani, Manabu Kakinohana, The MEP Monitoring Guideline Working Group of the Safety Committee of the Japanese Society of Anesthesiologists (JSA)

Erschienen in: Journal of Anesthesia | Ausgabe 1/2020

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Abstract

Postoperative motor dysfunction can develop after spinal surgery, neurosurgery and aortic surgery, in which there is a risk of injury of motor pathway. In order to prevent such devastating complication, intraoperative monitoring of motor evoked potentials (MEP) has been conducted. However, to prevent postoperative motor dysfunction, proper understanding of MEP monitoring and proper anesthetic managements are required. Especially, a variety of anesthetics and neuromuscular blocking agent are known to attenuate MEP responses. In addition to the selection of anesthetic regime to record the baseline and control MEP, the measures to keep the level of hypnosis and muscular relaxation at constant are crucial to detect the changes of MEP responses after the surgical manipulation. Once the changes of MEP are observed based on the institutional alarm criteria, multidisciplinary team members should share the results of MEP monitoring and respond to check the status of monitoring and recover the possible motor nerve injury. Prevention of MEP-related adverse effects is also important to be considered. The Working Group of Japanese Society of Anesthesiologists (JSA) developed this practical guide aimed to help ensure safe and successful surgery through appropriate anesthetic management during intraoperative MEP monitoring.

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Titel: A practical guide for anesthetic management during intraoperative motor evoked potential monitoring
verfasst von: Masahiko Kawaguchi
Hiroki Iida
Satoshi Tanaka
Naokazu Fukuoka
Hironobu Hayashi
Shunsuke Izumi
Kenji Yoshitani
Manabu Kakinohana
The MEP Monitoring Guideline Working Group of the Safety Committee of the Japanese Society of Anesthesiologists (JSA)
Publikationsdatum: 19.10.2019
Verlag: Springer Singapore
Erschienen in: Journal of Anesthesia / Ausgabe 1/2020
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-019-02698-2

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A practical guide for anesthetic management during intraoperative motor evoked potential monitoring

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