title: Intraoperative neuromonitoring in major vascular surgery.
abstract: There has been a growing interest in using intraoperative neuromonitoring to reduce the incidence of stroke and paralysis in major vascular interventions. Electroencephalography, various neurophysiological evoked potential measurements, transcranial Doppler, and near-infrared spectroscopy are some of the modalities currently used to detect neural injuries. A good understanding of these modalities and their interactions with anaesthesia is important to maximize their value and to allow meaningful interpretation of their results. In view of the inter-individual differences in anatomy, physiological reserves, and severity of pathological processes, neuromonitoring may be a valuable method to evaluate the well-being of the nervous system during and after surgical interventions. In this review, we summarize some of their applications, efficacies, and drawbacks in major carotid and aortic surgeries.
authors: Department of Anaesthesiology, Queen Mary Hospital, Room F2-43, F Block, 102 Pokfulam Road, Pokfulam, Hong Kong.
authors: V C
authors: VC
authors: So
authors: Department of Anaesthesiology, Queen Mary Hospital, Room F2-43, F Block, 102 Pokfulam Road, Pokfulam, Hong Kong ccmpoon@gmail.com.
authors: C C M
authors: CC
authors: Poon
mesh_terms: D000768:Anesthesia, General; D001011:Aorta / Q000601:surgery; D001921:Brain / Q000503:physiopathology; D004569:Electroencephalography; D005071:Evoked Potentials; D006801:Humans; D016343:Monitoring, Intraoperative; D019265:Spectroscopy, Near-Infrared; D013116:Spinal Cord / Q000503:physiopathology; D017585:Ultrasonography, Doppler, Transcranial; D014656:Vascular Surgical Procedures
keywords: aortic surgery; carotid surgery; intraoperative neurophysiological monitoring; neurological injury; vascular surgical procedures