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수술중신경계감시 전문인력을 배제한 모니터링 기계의 사용: 신뢰 가능한가?

Other Titles
 Monitoring devices without professionals of intraoperative neurophysiological monitoring: is it trustworthy? 
 박진영  ;  박윤길 
 Journal of Intraoperative Neurophysiology (수술중신경계감시학회지), Vol.1(1) : 9-13, 2019-01 
Journal Title
 Journal of Intraoperative Neurophysiology (수술중신경계감시학회지) 
Issue Date
electromyography ; evoked potentials ; intraoperative neurophysiologic monitoring ; surgeons
The more world-widely performed intraoperative neurophysiological monitoring (IONM) aims at early detection of damage to the nervous system during surgery in the ultimate purpose of minimizing the risk of postoperative neurologic deteriorations. As some major consensus has been drawn from the accumulated research on the criteria for alarm sign, based on the expectation for the automated, surgeon-directed neuro-monitoring system, a device was developed that automatically monitor electromyography and motor evoked potentials and makes the sound or visual alarm after detecting the change of nervous response. However, for the precise, real-time interpretation of the IONM, a comprehensive consideration of the patient’s factors and environmental factors occurring during the surgery is needed as well as an abundant experience of electrodiagnostic evaluation. Therefore, IONM practitioners should be a professional physiatrist or neurologist who does not participate directly in the surgery but sorely participate in IONM continuously. Further, there are clinical limitations in using and interpreting the waves obtained by automated equipment directly by the surgeon who is fully concentrated on the operation. As conclusion, the automated, surgeon-directed neuro-monitoring equipment cannot substitute for the role of the IONM professionals.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Yoon Ghil(박윤길) ORCID logo https://orcid.org/0000-0001-9054-5300
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
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