title: [Neurophysiological monitoring during surgery].
abstract: BACKGROUND
  Intraoperative neurophysiological monitoring has become increasingly important in interventions involving risk of damage to the nervous system. We aim to provide an overview of possibilities and limitations on the use of intraoperative neurophysiological methods.
  
  
  METHODS
  The article is based on a review of relevant textbooks and articles from own literature archives and selective searches in PubMed, combined with the authors' own clinical experience.
  
  
  RESULTS
  Intraoperative neurophysiological monitoring includes both continuous monitoring of neural tissue and localisation of vital neurological structures. This monitoring can reduce the risk of damage to nerves and neural pathways and is used most frequently in scoliosis and neurosurgical operations. The need for neurophysiological monitoring influences the choice of anaesthesia, as some anaesthetics affect the monitoring.
  
  
  CONCLUSIONS
  Intraoperative neurophysiological monitoring is dependent on good cooperation between neurophysiologists, surgeons, anaesthetists and the other specialities involved.
authors: Avdeling for nevrologi og klinisk nevrofysiologi, St. Olavs hospital, Norway. ralf-peter.michler@stolav.no
authors: Ralf Peter
authors: RP
authors: Michler
authors: Geirmund
authors: G
authors: Unsgård
authors: Ivar
authors: I
authors: Rossvoll
mesh_terms: D000758:Anesthesia / Q000379:methods; D002540:Cerebral Cortex / Q000502:physiology; D004558:Electric Stimulation / Q000379:methods; D004594:Electrophysiology / Q000379:methods; D019054:Evoked Potentials, Motor / Q000502:physiology; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods*; D009046:Motor Neurons / Q000502:physiology; D061886:Neuromuscular Monitoring; D019635:Neurosurgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods; D061214:Patient Safety; D011712:Pyramidal Tracts / Q000502:physiology; D012306:Risk; D012600:Scoliosis / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods