PDF(Pubmed)
Abstract：
UNASSIGNED: Neurological insults during surgery arise from anatomic and/or physiologic perturbations. Intraoperative neurophysiologic monitoring (IONM) fills a critical role of ensuring that any neurological insults during certain surgical procedures are caught in real-time to prevent patient harm. IONM provides immediate feedback to the surgeon and anesthesiologist about the need for an intervention to prevent a neurologic deficit postoperatively. As important as it seems to have IONM available to any patient having surgery where a neurological injury is possible, the truth is that IONM is unavailable to large swaths of people around the world. This review is intended to bring attention to all of the ways IONM is critically important for a variety of surgeries and highlight the barriers preventing most patients around the world from benefiting from the technology. Expansion of IONM to benefit patients from all over the world is the new frontier.
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.
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.
摘要：
■手术过程中的神经损伤来自解剖和/或生理扰动。术中神经生理监测（IONM）在确保实时捕获某些外科手术期间的任何神经损伤以防止患者伤害方面发挥着关键作用。IONM向外科医生和麻醉师提供关于需要干预以防止术后神经缺陷的即时反馈。对于任何可能发生神经损伤的手术患者来说，IONM似乎同样重要，事实是，IONM对世界各地的许多人是不可用的。这篇综述旨在引起人们对IONM对各种手术至关重要的所有方式的关注，并强调阻碍世界各地大多数患者受益于该技术的障碍。IONM的扩展使来自世界各地的患者受益是新的前沿。
■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。
■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。
