Neurophysiology Incorporated

Recommended Reading - Anesthesia

Effects of Anesthetic Agents and Physiologic Changes on Intraoperative Motor Evoked Potentials
Authors: Lotto, Banoub, and Schubert
J. Neurosurg Anesthesiol Vol 16, Number 1, 2004

Evoked potential monitoring of the upper extremities during thoracic and lumbar spinal deformity surgery: a prospective study.
O'brien Journal of Spinal Disorders. 7(4): 277084, 1994 August

Influence of propofol concentrations on multiplulse Transcranial motor evoked potentials.
Nathan...British Journal of Anesthesia 91 (4) 493-7 (2003)

"Intraoperative Neurophysiological Monitoring of the Spinal Cord and Nerve Roots" Invited Review
J. Slimp Ph.D., University of Washington School of Medicine
SpineLine, September/October 2006

“Effects of Anesthetic Agents and Physiologic Changes on Intraoperative Motor Evoked Potentials”
Lotto J. Neurosurg/Anesthesiol 2004

To Prevent TcMEP loss or changes:
Continuous monitoring rather than monitoring during risky procedures will help detect gradual changes in baseline potentials caused by anesthetic or physiologic alterations.

“Strategies for Managing Decreased Motor Evoked Potential Signals While Distracting the Spine During Correction of Sciolosis”
Lyon J. Neurosurgical Anesthesiol 2004

“Comparison of Transcranial Electric Motor and Somatosensory Evoked Potential Monitoring during Cervical Spine Surgery”
Hilibrand J. of Bone and Joint Surgery 2004

“Monitoring Sciolosis Surgery with Combined Multiple Pulse Transcranial Electric Motor and Cortical Somatosensory Evoked Potentials from the Lower and Upper Extremities”
MacDonald Spine 2003

Total intravenous anesthesia for intraoperative monitoring of the motor pathways: an integral view combining clinical and experimental data
Scheufler J Neurosurg 96:571-579 2002