Surgical Specialties Served
Orthopedic surgery
Intraoperative monitoring is often performed during operations on the spine because the spinal cord and/or nerve roots may be compromised. These surgeries include tumor resection and deformity correction.
Neurosurgery
Intraoperative monitoring techniques are utilized during neurosurgical procedures when the brain, spinal cord, and/or major nerve roots are placed at risk. Neurophysiological monitoring provides immediate feedback regarding cortical and subcortical function.
Otolaryngology/Ear, Nose and throat
Intraoperative monitoring techniques are utilized during otolaryngological procedures when cranial nerves and brain tissues are placed at risk, including neck surgeries including parotidectomies and thyroidectomies; and ear surgeries including Cochlear implants, mastoidectomies, and tympanoplasties.
Cardiothoracic Surgery
Intraoperative monitoring techniques are utilized during cardiovascular procedures to detect ischemic changes during temporary or permanent occlusion of major cardio-thoracic arteries. The immediate neurological status of the patient can be predicted utilizing intraoperative monitoring techniques.
Vascular Surgery
Intraoperative monitoring is utilized during vascular surgery procedures to verify perfusion of neural tissue during temporary and permanent occlusion of major blood vessels and spinal radicular arteries. Neurophysiological monitoring provides immediate feedback regarding the patient's neural status.
Interventional Radiology
Intraoperative monitoring techniques are utilized during interventional radiology procedures to verify perfusion of neural tissue. Gives immediate feedback regarding the patient's neural status.
Intensive Care Unit Monitoring
Intraoperative neurophysiological monitoring techniques are utilized following major cerebral and spinal surgery in the intensive care unit. Monitoring provides feedback regarding perfusion of neural tissue during recovery when there are fluctuations in mean blood pressure and/or intracranial and intraspinal pressure. Early detection of neural changes allows for immediate intervention.
Intensive care unit neurophysiological monitoring may also detect subclinical seizures thereby allowing titration of anti-seizure medications.