Intraoperative neurophysiological monitoring is a procedure that can improve the safety and outcome for your patients in surgeries where there is risk of damage to the nervous system. Neuromonitoring has been shown to reduce occurrences of neurological damage during surgical procedures from 4% to 0.5%. The safety of your patients is improved, your liability as a physician is reduced, and medical errors are caught and prevented.

We are pioneering the use of intraoperative neurophysiological monitoring, or IONM, in the following:

  • Cervical and lumbar spine
  • Vascular surgeries
  • Brain surgeries
  • Pain management
  • Epidurals
  • Steroid injections
  • RF ablations
  • ENT and thyroidectomies

How Intraoperative Neurophysiologic Monitoring Improves Surgical Outcomes

Our real-time monitoring of the state of the nervous system will alert you to potential neurologic injury to your patient during surgery. You will be able to take corrective action, thereby improving safety for your patient as well as the surgical outcome.
Surgeons who do not use IONM must rely solely on monitoring a patient’s pulse, blood pressure and blood gas content to determine the patient’s health during the surgery. And while monitoring these parameters does give you a picture of your patient’s health during surgery, it is only a partial picture.

Intraoperative neurophysiologic monitoring provides a panoramic view by providing real-time feedback on the condition of your patient’s nervous system. This information is essential, especially during surgeries involving the brain, the spinal cord, or the peripheral nervous system. The real-time nature of the information that you receive will allow you to make prompt interventions, reducing the occurrence of postsurgical incidents, including:

  • Paralysis
  • Muscle weakness
  • Hearing loss
  • Sensory defects
  • Neurological defects

Benefits for Your Patients

Intraoperative neurophysiological monitoring can be performed using multiple techniques. These include:

  • Somatosensory evoked potentials (SSEP)
  • Motor evoked potentials (MEP)
  • Electromyography (EMG)
  • Electroencephalogram (EEG)
  • Brainstem evoked potentials (BAEP)
  • Cranial nerve monitoring
  • Pedicle screw testing
  • Brain mapping

Using these procedures to perform real-time monitoring of the nervous system during an operation provides you valuable information about any evolving neurological injury. The sensors that are placed on neurological structures or muscles provide signals that are monitored in real time by our on-site neurodiagnostic technologist. Your surgical team is provided what it needs to implement corrective measures with the goal of preventing permanent neurological defects that can have a damaging impact on your patients.

This procedure is quick, non-invasive and painless. Recordings can be taken multiple times throughout the surgical procedure without causing harm to your patient. It is an effective and simple way to drastically reduce the risk of nerve injury during surgery.

IONM for Improved Patient Safety

Patient safety is at the heart of healthcare. Intraoperative neurophysiological monitoring is designed to help prevent injury or any other adverse outcome associated with surgical care. Our team understands the importance of surveillance and coordination to reduce negative outcomes during surgery.

IONM provides you and your surgical team the ability to monitor the functional integrity of delicate neural elements during the surgical procedure. This offers you improved safety awareness and results in improved patient safety and improved surgical outcomes.