Are you ready for a history lesson in #neuromonitoring?
Francesco Sala came out with a paper that chronicles major milestones in pediatric IONM.
Usually, this is the place where progress took place.
From a neuromonitoring standpoint, pediatric cases tend to require more modalities more often.
Pediatric surgeons, at the same time, became more familiar and inquisitive about what's possible.
Much of IONM's progress took place here, necessity being the mother of invention and all.
Besides ge
Just a reminder...
The OIG said what it said, but it is also not the end all be all, because "no person or entity can rely on an advisory opinion issued to someone else."
Some of these arrangements have probably already been dissolved due to the change in economics.
But another factor in the risk-reward ratio should help continue to that trend.
Low cost #neuromonitoring technique for thyroidectomies. Let's discuss...
The authors utilized the commonly used tube with electrodes imbedded for RLN monitoring. At the same time, they place surface electrodes by visualized the vocal cords through the use of laryngeal ultrasonography.
The question they were looking to answer was can we get similar results with much more inexpensive supplies.
The results on 216 patients... not bad. (see the image)
The one variable that seemed to increase
An image worth discussing. Here are some thoughts for the age of AI #neuromonitoring #eeg
First off, I don't believe this to be a singular cause and effect (ex: the IRS Section 174 amendments, effective 2022, required amortizing R&D expenses over five years instead of immediate deductions, inflating tax liabilities and fueling hiring freezes and layoffs).
But the potential AI has to shape of the future, I think it's a safer exercise to act as if it does than doesn't.
1) Eliminate the job lo
Why consider using #neuromonitoring during total mesorectal excision (TME)?
- fewer patients who had TME with IONM versus those without it experienced marked urinary function deterioration at 1 year post-surgery (8% vs 19%). This is consistent with other studies (7% vs 40%).
- IONM groups were associated with a significantly reduced mean International Prostate Symptom Score after a short-term follow-up.
- electrophysiologically controlled nerve sparing also appears to be advantageous in terms
Why consider using #neuromonitoring during total mesorectal excision (TME)?
- fewer patients who had TME with IONM versus those without it experienced marked urinary function deterioration at 1 year post-surgery (8% vs 19%). This is consistent with other studies (7% vs 40%).
- IONM groups were associated with a significantly reduced mean International Prostate Symptom Score after a short-term follow-up.
- electrophysiologically controlled nerve sparing also appears to be advantageous in terms
Information is open to anyone. But it wasn't always like that in small niches, like #neuromonitoring.
Information was protected because the scarcity gave it value.
"I was trained by Kent Rice" carried more weight than the University they came from.
Today is different. There's more information than we can access.
Plus, the field is doing more cases annually with fewer companies.
There's always a bit of dilution in corporate training when we're talking about the size and distance many compani
An area of expansion for #neuromonitoring is its versatility. That's something to keep in mind when reading research, which is usually focused on answering fewer questions more definitively.
It can cause a reader to make inaccurate assumptions at no fault of the authors.
Here's an example.
This facility is using a multimodality approach to monitor for potential deficits in Chiari malformation surgery. The outcomes under this lens show SSEP and MEPs to be superior modalities. It might even cal
IntraoperativeNeuromonitoring