UNASSIGNED: We searched all English language original papers and reviews using Embase and MEDLINE/PubMed databases published from 1995 to 2022. Different combinations of the following search terms were used: intraoperative neuromonitoring, neurosurgery, low-income countries, cost, safety, and efficacy.
UNASSIGNED: We describe common IONM modalities used during surgery as well as explore barriers to implementation of IONM in resource-limited regions. Additionally, we describe ongoing efforts to establish IONM capabilities in new locations around the world.
UNASSIGNED: In this paper, we performed a review of the literature on IONM with an emphasis on the basic understanding of clinical applications and the barriers for expansion into resource-limited settings. Finally, we provide our interpretation of \"new frontiers\" in IONM quite literally facilitating access to the tools and education so a hospital in Sub-Saharan Africa can incorporate IONM for their high-risk surgeries.
■我们使用1995年至2022年发布的Embase和MEDLINE/PubMed数据库搜索了所有英文原创论文和评论。使用以下搜索词的不同组合:术中神经监测,神经外科,低收入国家,成本,安全,和功效。
■我们描述了手术期间使用的常见IONM模式,并探讨了在资源有限的地区实施IONM的障碍。此外,我们描述了在全球新地点建立IONM能力的持续努力。
■在本文中,我们对有关IONM的文献进行了综述,重点是对临床应用的基本理解以及扩展到资源有限环境的障碍.最后,我们在IONM中提供我们对“新领域”的解释,从字面上促进了对工具和教育的访问,因此撒哈拉以南非洲的医院可以将IONM纳入其高风险手术。