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Acute Loss of Intraoperative Evoked Potential Signals 

Acute Loss of Intraoperative Evoked Potential Signals
Chapter:
Acute Loss of Intraoperative Evoked Potential Signals
Author(s):

Leslie Jameson

DOI:
10.1093/med/9780190226459.003.0069
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date: 24 September 2020

Monitoring of somatosensory and motor evoked potentials has become the standard of care for a large proportion of spine surgeons. Understanding how anesthetic management may affect these evoked potentials is critical to optimizing the ability to detect impending spinal cord or peripheral nerve injury. Similarly, once a nerve injury is detected, knowledge of the various anesthetic and surgical maneuvers possible to avoid permanent injury is essential for the best patient outcomes. This chapter discusses the effects of various anesthetic agents on somatosensory and motor evoked potentials and potential critical interventions that can be made when a nerve injury is identified by this monitoring.

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