Technical Tips: The Role of the Charge Neurodiagnostic Technologist
Neurodiagn J. 2024 Mar 4:1-11. doi: 10.1080/21646821.2024.2315103. Online ahead of print.ABSTRACTThe purpose of this strategic staffing study was to retrospectively evaluate the impact of the charge neurodiagnostic technologist (NDT) within a 24/7 pediatric NAEC Level IV, ABRET LAB-LTM accredited epilepsy monitoring unit (EMU) during a 4-month pilot. The association between a high-reliability organization (HRO), Lean thinking, and organizational strategic goals were utilized as guiding principles. This paper reviews the operational need to further develop frontline neurodiagnostic leadership roles within Ann & Robert H...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Erik Padilla Sindy Navarro Karen Richey Mariana Vicenteno Source Type: research
Repeated L5 Nerve Root Compromise Detected with Motor Evoked Potentials (MEP), but Not Electromyography (EMG): A Case Report
We report a case where neuromonitoring, using motor evoked potentials (MEP), detected an intraoperative L5 nerve root deficit during a lumbosacral decompression and instrumented fusion procedure. Critically, the MEP changes were not preceded nor accompanied by any significant spontaneous electromyography (sEMG) activity. Presumptive L5 innervated muscles, including tibialis anterior (TA), extensor hallucis longus (EHL) and gluteus maximus, were targets for nerve root surveillance using combined MEP and sEMG techniques. During a high-grade spondylolisthesis correction procedure, attempts to align a left-sided rod resulted i...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marshall F Wilkinson Jennyfer P Galdino Chaves Miguel Vega Arroyo Mohammed Zarrabian Source Type: research
Effects of Anesthetic Choice on the Incidence of Transcranial-Motor Potential-Induced Oral Trauma
Neurodiagn J. 2024 Mar 4:1-13. doi: 10.1080/21646821.2024.2319508. Online ahead of print.ABSTRACTTranscranial motor-evoked potentials (TcMEPs) play an integral role in assessing motor tract function in surgical procedures where motor function is at risk. However, transcranial stimulation creates a risk for oral trauma. Several studies have reported on distinct factors that can influence the rate of TcMEP-induced oral trauma, but little is known about how an anesthetic regimen can influence this rate. In this retrospective review, we investigated the incidence of oral injury under total intravenous anesthesia (TIVA) and bal...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marcia-Ruth Ndege Anthony Clanton Tammy Lacy Adam Doan Source Type: research
Technical Tips: The Role of the Charge Neurodiagnostic Technologist
Neurodiagn J. 2024 Mar 4:1-11. doi: 10.1080/21646821.2024.2315103. Online ahead of print.ABSTRACTThe purpose of this strategic staffing study was to retrospectively evaluate the impact of the charge neurodiagnostic technologist (NDT) within a 24/7 pediatric NAEC Level IV, ABRET LAB-LTM accredited epilepsy monitoring unit (EMU) during a 4-month pilot. The association between a high-reliability organization (HRO), Lean thinking, and organizational strategic goals were utilized as guiding principles. This paper reviews the operational need to further develop frontline neurodiagnostic leadership roles within Ann & Robert H...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Erik Padilla Sindy Navarro Karen Richey Mariana Vicenteno Source Type: research
Repeated L5 Nerve Root Compromise Detected with Motor Evoked Potentials (MEP), but Not Electromyography (EMG): A Case Report
We report a case where neuromonitoring, using motor evoked potentials (MEP), detected an intraoperative L5 nerve root deficit during a lumbosacral decompression and instrumented fusion procedure. Critically, the MEP changes were not preceded nor accompanied by any significant spontaneous electromyography (sEMG) activity. Presumptive L5 innervated muscles, including tibialis anterior (TA), extensor hallucis longus (EHL) and gluteus maximus, were targets for nerve root surveillance using combined MEP and sEMG techniques. During a high-grade spondylolisthesis correction procedure, attempts to align a left-sided rod resulted i...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marshall F Wilkinson Jennyfer P Galdino Chaves Miguel Vega Arroyo Mohammed Zarrabian Source Type: research
Effects of Anesthetic Choice on the Incidence of Transcranial-Motor Potential-Induced Oral Trauma
Neurodiagn J. 2024 Mar 4:1-13. doi: 10.1080/21646821.2024.2319508. Online ahead of print.ABSTRACTTranscranial motor-evoked potentials (TcMEPs) play an integral role in assessing motor tract function in surgical procedures where motor function is at risk. However, transcranial stimulation creates a risk for oral trauma. Several studies have reported on distinct factors that can influence the rate of TcMEP-induced oral trauma, but little is known about how an anesthetic regimen can influence this rate. In this retrospective review, we investigated the incidence of oral injury under total intravenous anesthesia (TIVA) and bal...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marcia-Ruth Ndege Anthony Clanton Tammy Lacy Adam Doan Source Type: research
Technical Tips: The Role of the Charge Neurodiagnostic Technologist
Neurodiagn J. 2024 Mar 4:1-11. doi: 10.1080/21646821.2024.2315103. Online ahead of print.ABSTRACTThe purpose of this strategic staffing study was to retrospectively evaluate the impact of the charge neurodiagnostic technologist (NDT) within a 24/7 pediatric NAEC Level IV, ABRET LAB-LTM accredited epilepsy monitoring unit (EMU) during a 4-month pilot. The association between a high-reliability organization (HRO), Lean thinking, and organizational strategic goals were utilized as guiding principles. This paper reviews the operational need to further develop frontline neurodiagnostic leadership roles within Ann & Robert H...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Erik Padilla Sindy Navarro Karen Richey Mariana Vicenteno Source Type: research
Repeated L5 Nerve Root Compromise Detected with Motor Evoked Potentials (MEP), but Not Electromyography (EMG): A Case Report
We report a case where neuromonitoring, using motor evoked potentials (MEP), detected an intraoperative L5 nerve root deficit during a lumbosacral decompression and instrumented fusion procedure. Critically, the MEP changes were not preceded nor accompanied by any significant spontaneous electromyography (sEMG) activity. Presumptive L5 innervated muscles, including tibialis anterior (TA), extensor hallucis longus (EHL) and gluteus maximus, were targets for nerve root surveillance using combined MEP and sEMG techniques. During a high-grade spondylolisthesis correction procedure, attempts to align a left-sided rod resulted i...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marshall F Wilkinson Jennyfer P Galdino Chaves Miguel Vega Arroyo Mohammed Zarrabian Source Type: research
Effects of Anesthetic Choice on the Incidence of Transcranial-Motor Potential-Induced Oral Trauma
Neurodiagn J. 2024 Mar 4:1-13. doi: 10.1080/21646821.2024.2319508. Online ahead of print.ABSTRACTTranscranial motor-evoked potentials (TcMEPs) play an integral role in assessing motor tract function in surgical procedures where motor function is at risk. However, transcranial stimulation creates a risk for oral trauma. Several studies have reported on distinct factors that can influence the rate of TcMEP-induced oral trauma, but little is known about how an anesthetic regimen can influence this rate. In this retrospective review, we investigated the incidence of oral injury under total intravenous anesthesia (TIVA) and bal...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marcia-Ruth Ndege Anthony Clanton Tammy Lacy Adam Doan Source Type: research
Technical Tips: The Role of the Charge Neurodiagnostic Technologist
Neurodiagn J. 2024 Mar 4:1-11. doi: 10.1080/21646821.2024.2315103. Online ahead of print.ABSTRACTThe purpose of this strategic staffing study was to retrospectively evaluate the impact of the charge neurodiagnostic technologist (NDT) within a 24/7 pediatric NAEC Level IV, ABRET LAB-LTM accredited epilepsy monitoring unit (EMU) during a 4-month pilot. The association between a high-reliability organization (HRO), Lean thinking, and organizational strategic goals were utilized as guiding principles. This paper reviews the operational need to further develop frontline neurodiagnostic leadership roles within Ann & Robert H...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Erik Padilla Sindy Navarro Karen Richey Mariana Vicenteno Source Type: research
Repeated L5 Nerve Root Compromise Detected with Motor Evoked Potentials (MEP), but Not Electromyography (EMG): A Case Report
We report a case where neuromonitoring, using motor evoked potentials (MEP), detected an intraoperative L5 nerve root deficit during a lumbosacral decompression and instrumented fusion procedure. Critically, the MEP changes were not preceded nor accompanied by any significant spontaneous electromyography (sEMG) activity. Presumptive L5 innervated muscles, including tibialis anterior (TA), extensor hallucis longus (EHL) and gluteus maximus, were targets for nerve root surveillance using combined MEP and sEMG techniques. During a high-grade spondylolisthesis correction procedure, attempts to align a left-sided rod resulted i...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marshall F Wilkinson Jennyfer P Galdino Chaves Miguel Vega Arroyo Mohammed Zarrabian Source Type: research
Effects of Anesthetic Choice on the Incidence of Transcranial-Motor Potential-Induced Oral Trauma
Neurodiagn J. 2024 Mar 4:1-13. doi: 10.1080/21646821.2024.2319508. Online ahead of print.ABSTRACTTranscranial motor-evoked potentials (TcMEPs) play an integral role in assessing motor tract function in surgical procedures where motor function is at risk. However, transcranial stimulation creates a risk for oral trauma. Several studies have reported on distinct factors that can influence the rate of TcMEP-induced oral trauma, but little is known about how an anesthetic regimen can influence this rate. In this retrospective review, we investigated the incidence of oral injury under total intravenous anesthesia (TIVA) and bal...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marcia-Ruth Ndege Anthony Clanton Tammy Lacy Adam Doan Source Type: research
Technical Tips: The Role of the Charge Neurodiagnostic Technologist
Neurodiagn J. 2024 Mar 4:1-11. doi: 10.1080/21646821.2024.2315103. Online ahead of print.ABSTRACTThe purpose of this strategic staffing study was to retrospectively evaluate the impact of the charge neurodiagnostic technologist (NDT) within a 24/7 pediatric NAEC Level IV, ABRET LAB-LTM accredited epilepsy monitoring unit (EMU) during a 4-month pilot. The association between a high-reliability organization (HRO), Lean thinking, and organizational strategic goals were utilized as guiding principles. This paper reviews the operational need to further develop frontline neurodiagnostic leadership roles within Ann & Robert H...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Erik Padilla Sindy Navarro Karen Richey Mariana Vicenteno Source Type: research
Repeated L5 Nerve Root Compromise Detected with Motor Evoked Potentials (MEP), but Not Electromyography (EMG): A Case Report
We report a case where neuromonitoring, using motor evoked potentials (MEP), detected an intraoperative L5 nerve root deficit during a lumbosacral decompression and instrumented fusion procedure. Critically, the MEP changes were not preceded nor accompanied by any significant spontaneous electromyography (sEMG) activity. Presumptive L5 innervated muscles, including tibialis anterior (TA), extensor hallucis longus (EHL) and gluteus maximus, were targets for nerve root surveillance using combined MEP and sEMG techniques. During a high-grade spondylolisthesis correction procedure, attempts to align a left-sided rod resulted i...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marshall F Wilkinson Jennyfer P Galdino Chaves Miguel Vega Arroyo Mohammed Zarrabian Source Type: research
Effects of Anesthetic Choice on the Incidence of Transcranial-Motor Potential-Induced Oral Trauma
Neurodiagn J. 2024 Mar 4:1-13. doi: 10.1080/21646821.2024.2319508. Online ahead of print.ABSTRACTTranscranial motor-evoked potentials (TcMEPs) play an integral role in assessing motor tract function in surgical procedures where motor function is at risk. However, transcranial stimulation creates a risk for oral trauma. Several studies have reported on distinct factors that can influence the rate of TcMEP-induced oral trauma, but little is known about how an anesthetic regimen can influence this rate. In this retrospective review, we investigated the incidence of oral injury under total intravenous anesthesia (TIVA) and bal...
Source: The Neurodiagnostic Journal - March 4, 2024 Category: Neurology Authors: Marcia-Ruth Ndege Anthony Clanton Tammy Lacy Adam Doan Source Type: research
