J Clin Monit Comput - Muscle relaxant use during intraoperative neurophysiologic monitoring.

Tópicos

{ activ(1138) subject(705) human(624) }
{ blood(1257) pressur(1144) flow(957) }
{ studi(2440) review(1878) systemat(933) }
{ general(901) number(790) one(736) }
{ network(2748) neural(1063) input(814) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
{ data(1714) softwar(1251) tool(1186) }
{ import(1318) role(1303) understand(862) }
{ monitor(1329) mobil(1314) devic(1160) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
{ can(981) present(881) function(850) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ treatment(1704) effect(941) patient(846) }
{ chang(1828) time(1643) increas(1301) }
{ algorithm(1844) comput(1787) effici(935) }
{ research(1085) discuss(1038) issu(1018) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Neuromuscular blocking agents have generally been avoided during intraoperative neurophysiological monitoring (IOM) where muscle responses to nerve stimulation or transcranial stimulation are monitored. However, a variety of studies and clinical experience indicate partial neuromuscular blockade is compatible with monitoring in some patients. This review presents these experiences after reviewing the currently used agents and the methods used to assess the blockade. A review was conducted of the published literature regarding neuromuscular blockade during IOM. A variety of articles have been published that give insight into the use of partial pharmacological paralysis during monitoring. Responses have been recorded from facial muscles, vocalis muscles, and peripheral nerve muscles from transcranial or neural stimulation with neuromuscular blockade measured in the muscle tested or in the thenar muscles from ulnar nerve stimulation. Preconditioning of the nervous system with tetanic or sensory stimulation has been used. In patients without neuromuscular pathology intraoperative monitoring using peripheral muscle responses from neural stimulation is possible with partial neuromuscular blockade. Monitoring of muscle responses from cranial nerve stimulation may require a higher degree of stimulation and less neuromuscular blockade. The role of tetanic or sensory conditioning of the nervous system is not fully characterized. The impact of neuromuscular pathology or the effect of partial blockade on monitoring muscle responses from spontaneous neural activity or mechanical nerve stimulation has not been described.

Resumo Limpo

neuromuscular block agent general avoid intraop neurophysiolog monitor iom muscl respons nerv stimul transcrani stimul monitor howev varieti studi clinic experi indic partial neuromuscular blockad compat monitor patient review present experi review current use agent method use assess blockad review conduct publish literatur regard neuromuscular blockad iom varieti articl publish give insight use partial pharmacolog paralysi monitor respons record facial muscl vocali muscl peripher nerv muscl transcrani neural stimul neuromuscular blockad measur muscl test thenar muscl ulnar nerv stimul precondit nervous system tetan sensori stimul use patient without neuromuscular patholog intraop monitor use peripher muscl respons neural stimul possibl partial neuromuscular blockad monitor muscl respons cranial nerv stimul may requir higher degre stimul less neuromuscular blockad role tetan sensori condit nervous system fulli character impact neuromuscular patholog effect partial blockad monitor muscl respons spontan neural activ mechan nerv stimul describ

Resumos Similares

Med Biol Eng Comput - Conduction block of whole nerve without onset firing using combined high frequency and direct current. ( 0,932444711316145 )
Int J Neural Syst - Computational modeling of transcranial direct current stimulation in the child brain: implications for the treatment of refractory childhood focal epilepsy. ( 0,898297367178228 )
Med Biol Eng Comput - Is it possible to detect dendrite currents using presently available magnetic resonance imaging techniques? ( 0,877597917236069 )
J Med Syst - The effect of an auxiliary stimulation on motor function restoration by FES. ( 0,869312535470721 )
J Clin Monit Comput - Spinal cord injury from electrocautery: observations in a porcine model using electromyography and motor evoked potentials. ( 0,868049352365805 )
Med Biol Eng Comput - Electrical stimulation for the suppression of pathological tremor. ( 0,864748590264995 )
Med Biol Eng Comput - Advanced biofeedback from surface electromyography signals using fuzzy system. ( 0,864385749617934 )
J Clin Monit Comput - Augmentation of motor evoked potentials using multi-train transcranial electrical stimulation in intraoperative neurophysiologic monitoring during spinal surgery. ( 0,863759658632005 )
Med Biol Eng Comput - Estimating nerve excitation thresholds to cutaneous electrical stimulation by finite element modeling combined with a stochastic branching nerve fiber model. ( 0,856575107765404 )
Med Biol Eng Comput - Transmembrane potential generated by a magnetically induced transverse electric field in a cylindrical axonal model. ( 0,856107728633983 )
Comput. Biol. Med. - Field distribution of epidural electrical stimulation. ( 0,854233219429851 )
Med Biol Eng Comput - Synthesis of optimal electrical stimulation patterns for functional motion restoration: applied to spinal cord-injured patients. ( 0,851394040205105 )
Comput Math Methods Med - Application of computational lower extremity model to investigate different muscle activities and joint force patterns in knee osteoarthritis patients during walking. ( 0,851283673195068 )
Med Biol Eng Comput - Measuring skin conductance over clothes. ( 0,848455681536167 )
Comput Methods Programs Biomed - Performance optimization of current focusing and virtual electrode strategies in retinal implants. ( 0,846602283847499 )
Med Biol Eng Comput - Effects of muscle fibre shortening on the characteristics of surface motor unit potentials. ( 0,844635362197931 )
Neural Comput - Intracellular dynamics of virtual place cells. ( 0,842879206471883 )
Med Biol Eng Comput - Spinal cord direct current stimulation: finite element analysis of the electric field and current density. ( 0,840035702276036 )
Comput Methods Programs Biomed - Development/global validation of a 6-month-old pediatric head finite element model and application in investigation of drop-induced infant head injury. ( 0,838028104108091 )
Med Biol Eng Comput - Peculiarities of extracellular potentials produced by deep muscles. Part 1: single fibre potential fields. ( 0,837278123029148 )
Med Biol Eng Comput - The effect of local anatomy on the electric field induced by TMS: evaluation at 14 different target sites. ( 0,837105897912345 )
Med Biol Eng Comput - Glenohumeral stability during a hand-positioning task in previously injured shoulders. ( 0,832425281068854 )
Comput. Biol. Med. - Evaluation of different stimulation and measurement patterns based on internal electrode: application in cardiac impedance tomography. ( 0,828669269311008 )
IEEE J Biomed Health Inform - Inverse estimation of multiple muscle activations from joint moment with muscle synergy extraction. ( 0,827905906469797 )
J Clin Monit Comput - Quantification of the proportion of motor neurons recruited by transcranial electrical stimulation during intraoperative motor evoked potential monitoring. ( 0,827472421471823 )
Comput Math Methods Med - Trial-by-trial adaptation of movements during mental practice under force field. ( 0,826392127360762 )
Int J Neural Syst - Electrophysiological responses from vagus nerve stimulation in rats. ( 0,825522457871344 )
Med Biol Eng Comput - Effect of membrane properties on skeletal muscle fiber excitability: a sensitivity analysis. ( 0,817379027818686 )
Med Biol Eng Comput - Enhanced regeneration of rabbit mandibular defects through a combined treatment of electrical stimulation and rhBMP-2 application. ( 0,813212784186696 )
Comput. Biol. Med. - Empirical modeling of renal motion for improved targeting during focused ultrasound surgery. ( 0,812462807780482 )
Med Biol Eng Comput - Safety of multi-channel stimulation implants: a single blocking capacitor per channel is not sufficient after single-fault failure. ( 0,809383741383731 )
Med Biol Eng Comput - The influence of skeletal muscle anisotropy on electroporation: in vivo study and numerical modeling. ( 0,80190975002925 )
Med Biol Eng Comput - Axial head rotation increases facet joint capsular ligament strains in automotive rear impact. ( 0,799493565369948 )
Comput. Biol. Med. - Muscle activity detection in electromyograms recorded during periodic movements. ( 0,798936009514451 )
Comput Math Methods Med - Noninvasive measurement of conductivity anisotropy at larmor frequency using MRI. ( 0,797152580733171 )
Med Biol Eng Comput - Towards the development of a novel experimental shoulder simulator with rotating scapula and individually controlled muscle forces simulating the rotator cuff. ( 0,793354374717475 )
Comput Math Methods Med - An approach for simulation of the muscle force modeling it by summation of motor unit contraction forces. ( 0,792397166716225 )
Comput. Biol. Med. - Simulating a dual-array electrode configuration to investigate the influence of skeletal muscle fatigue following functional electrical stimulation. ( 0,789113398056277 )
Comput Methods Programs Biomed - A passive movement method for parameter estimation of a musculo-skeletal arm model incorporating a modified hill muscle model. ( 0,78842563478848 )
Med Biol Eng Comput - Simulation of the complex countermovement jumping by means of a simple four-degrees-of-freedom model. ( 0,781298936930165 )
Comput. Biol. Med. - Shivering heat production and body fat protect the core from cooling during body immersion, but not during head submersion: a structural equation model. ( 0,773738449306954 )
Med Biol Eng Comput - Dynamics of magnetic particles in cylindrical Halbach array: implications for magnetic cell separation and drug targeting. ( 0,77047392289521 )
Int J Comput Assist Radiol Surg - fMRI assessment of upper extremity related brain activation with an MRI-compatible manipulandum. ( 0,767551636060201 )
Med Biol Eng Comput - Estimation of elbow flexion force during isometric muscle contraction from mechanomyography and electromyography. ( 0,766570013526831 )
Med Biol Eng Comput - Comparison of spinal cord stimulation profiles from intra- and extradural electrode arrangements by finite element modelling. ( 0,764636462812543 )
Int J Neural Syst - The effect of high and low frequency cortical stimulation with a fixed or a poisson distributed interpulse interval on cortical excitability in rats. ( 0,762298073826791 )
Med Biol Eng Comput - Optical monitoring of neural networks evoked by focal electrical stimulation on microelectrode arrays using FM dyes. ( 0,76107030405475 )
IEEE J Biomed Health Inform - Effect of cadence regulation on muscle activation patterns during robot assisted gait: a dynamic simulation study. ( 0,760802234907712 )
Comput Math Methods Med - Numerical simulations of MREIT conductivity imaging for brain tumor detection. ( 0,760054622133574 )
Med Biol Eng Comput - Where does transcranial magnetic stimulation (TMS) stimulate? Modelling of induced field maps for some common cortical and cerebellar targets. ( 0,758080273477286 )
Comput Methods Programs Biomed - Hierarchical pose estimation for human gait analysis. ( 0,753345072385406 )
Med Biol Eng Comput - Sensorimotor cortical response during motion reflecting audiovisual stimulation: evidence from fractal EEG analysis. ( 0,751803985652691 )
Med Biol Eng Comput - A method for determination of muscle fiber diameter using single fiber potential (SFP) analysis. ( 0,748234613964714 )
Comput Math Methods Med - Spreading out muscle mass within a Hill-type model: a computer simulation study. ( 0,747327999352289 )
Int J Neural Syst - A new linear muscle fiber model for neural control of saccades. ( 0,745644525755736 )
Med Biol Eng Comput - Deformation and pressure propagation in deep tissue during mechanical painful pressure stimulation. ( 0,74517869439867 )
Med Biol Eng Comput - The movement of a nerve in a magnetic field: application to MRI Lorentz effect imaging. ( 0,730343126743421 )
Comput. Aided Surg. - A biomechanical study regarding the effect of tissue harvesting from the thorax on its movement during inspiration. ( 0,730075466551612 )
Comput Math Methods Med - The application of computer musculoskeletal modeling and simulation to investigate compressive tibiofemoral force and muscle functions in obese children. ( 0,722261939652443 )
Med Biol Eng Comput - Cranial translation of the humeral head on radiographs in rotator cuff tear patients: the modified active abduction view. ( 0,713809364973457 )
Methods Inf Med - Slow adaptation of ventricular repolarization as a cause of arrhythmia? ( 0,71133513298461 )
Int J Med Robot - Mechatronic assistant system for dental drill handling. ( 0,709572232514488 )
Comput. Biol. Med. - Modeling action potential generation during single and dual electrode stimulation of CA3 axons in hippocampal slice. ( 0,706469332690166 )
Med Biol Eng Comput - Improved numerical approach for electrical modeling of biological cell clusters. ( 0,705118017995377 )
Med Biol Eng Comput - Comfort of two shoulder actuation mechanisms for arm therapy exoskeletons: a comparative study in healthy subjects. ( 0,703802691632707 )
Comput Methods Programs Biomed - FDTD-based Transcranial Magnetic Stimulation model applied to specific neurodegenerative disorders. ( 0,702937856978409 )
Med Biol Eng Comput - Protegemed2: an extended platform based on RFID to identify EME and improve the detection of microshocks. ( 0,702048104576759 )
J Chem Inf Model - Practical considerations for building GROMOS-compatible small-molecule topologies. ( 0,701761208418193 )
Med Biol Eng Comput - Optimal chest compression in cardiopulmonary resuscitation depends upon thoracic and back support stiffness. ( 0,701293917188165 )
Comput. Biol. Med. - Simulation of the microscopic process during initiation of stent thrombosis. ( 0,697127200037307 )
J Clin Monit Comput - Increases in voltage may produce false-negatives when using transcranial motor evoked potentials to detect an isolated nerve root injury. ( 0,692031503698681 )
Med Biol Eng Comput - Brain hypothermia induced by cold spinal fluid using a torso cooling pad: theoretical analyses. ( 0,690939698652352 )
J Clin Monit Comput - The influence of gender, hand dominance, and upper extremity length on motor evoked potentials. ( 0,686725383225044 )
Comput. Biol. Med. - Classification algorithms for the identification of structural injury in TBI using brain electrical activity. ( 0,68608971104088 )
Comput Math Methods Med - Optimisation of a generic ionic model of cardiac myocyte electrical activity. ( 0,685407661298617 )
Med Biol Eng Comput - The analysis of forces needed for the suturing of elliptical skin wounds. ( 0,683729824705875 )
IEEE J Biomed Health Inform - sEMG-based joint force control for an upper-limb power-assist exoskeleton robot. ( 0,682911768118166 )
Med Biol Eng Comput - A real-time system for biomechanical analysis of human movement and muscle function. ( 0,680217338464196 )
Med Biol Eng Comput - System identification of evoked mechanomyogram from abductor pollicis brevis muscle in isometric contraction. ( 0,679819584715051 )
Med Biol Eng Comput - An electrooptical muscle contraction sensor. ( 0,679617106648092 )
Int J Neural Syst - Transcranial magnetic stimulation (TMS) modulates epileptiform discharges in patients with frontal lobe epilepsy: a preliminary EEG-TMS study. ( 0,678028986864609 )
Int J Med Robot - A pneumatic laparoscope holder controlled by head movement. ( 0,672994340454464 )
Comput Math Methods Med - Optimisation of ionic models to fit tissue action potentials: application to 3D atrial modelling. ( 0,669094787906158 )
J Chem Inf Model - Engineering antimicrobial peptides with improved antimicrobial and hemolytic activities. ( 0,668976089319812 )
J Clin Monit Comput - Monitoring of intense neuromuscular blockade in a pig model. ( 0,666597682234154 )
Comput. Biol. Med. - Estimation of saline-mixed tissue conductivity and ablation lesion size. ( 0,661255296370618 )
Comput Math Methods Med - Three-dimensional lower extremity joint loading in a carved ski and snowboard turn: a pilot study. ( 0,661241095639949 )
Med Biol Eng Comput - Sensory data fusion of pressure mattress and wireless inertial magnetic measurement units. ( 0,661134913355755 )
Comput. Biol. Med. - Modeling gender effects on electrical activity of single ventricular myocytes. ( 0,658542065531208 )
J Clin Monit Comput - Protection of the remaining spinal cord function with intraoperative neurophysiological monitoring during paraparetic scoliosis surgery: a case report. ( 0,658521109700426 )
Med Biol Eng Comput - Feasibility of monitoring muscle health in microgravity environments using Myoton technology. ( 0,657558651269995 )
J Chem Inf Model - Composition and topology of activity cliff clusters formed by bioactive compounds. ( 0,653707879276118 )
Comput Methods Programs Biomed - Scaling analysis of baseline dual-axis cervical accelerometry signals. ( 0,650734556283038 )
J Clin Monit Comput - StO2 guided early resuscitation in subjects with severe sepsis or septic shock: a pilot randomised trial. ( 0,649479429209193 )
Med Biol Eng Comput - Effect of arm position on the prediction of kinematics from EMG in amputees. ( 0,645588378495079 )
Med Biol Eng Comput - Development and validation of a pressure-type automated quantitative sensory testing system for point-of-care pain assessment. ( 0,645515214229562 )
Neural Comput - A detailed and fast model of extracellular recordings. ( 0,644446425289645 )
Comput Methods Programs Biomed - Matlab-based interface for the simultaneous acquisition of force measures and Doppler ultrasound muscular images. ( 0,642425311124828 )
Comput Math Methods Med - Modiolus-hugging intracochlear electrode array with shape memory alloy. ( 0,63855605962194 )
Comput. Biol. Med. - Predicting neointimal hyperplasia in stented arteries using time-dependant computational fluid dynamics: a review. ( 0,637698109221497 )