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Chapter 41 - Somatosensory-Evoked Potentials (SSEPs) and Motor-Evoked Potentials (MEPs)

from Section 3 - Neuroanesthesia

Published online by Cambridge University Press:  03 August 2023

By
Jessica A. Lovich-Sapola  and
Samuel DeJoy
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 47-year-old male is scheduled for a surgical repair of his cervical spine. He was in a high-speed motor vehicle accident 1 week ago and has been in a cervical collar since. Does this patient require SSEP and/or MEP monitoring? Why? If SSEP/MEP monitoring is used, how will this affect your anesthesia? Would a wake-up test be better than SSEP/MEP monitoring?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 185 - 187
Publisher: Cambridge University Press
Print publication year: 2023

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References

Bal, E, Sessler, DI, Nair, DR, et al. Motor and sensory evoked potentials are well maintained in patients given dexmedetomidine during spine surgery. Anesthesiology 2008;109:417–25.Google Scholar
Banoub, M, Tetzlaff, JE, Schubert, A. Phamacologic and physiologic influences affecting sensory evoked potentials. Anesthesiology 2003;99:716–37.CrossRefGoogle Scholar
Barash, PG, Cullen, BF, Stoelting, RK. Clinical Anesthesia, 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2006, pp 760–3.Google Scholar
Calancie, B, Harris, W, Broton, JG et al. “Threshold-level” multipulse transcranial electrical stimulation of motor cortex for intraoperative monitoring of spinal motor tracts: description of method and comparison to SSEP monitoring. J Neurosurg 1999;90:376.Google Scholar
Clapcich, AJ, Emmerson, RG, Roye, DP. Propofol/remifentanil is superior to nitrous oxide/isoflurane/remifentanil for cortical somatosensory evoked potentials assessment in children undergoing spinal surgery. Anesthesiology 2002;96:A306.CrossRefGoogle Scholar
Clapcich, AJ, Emmerson, RG, Roye, DP, et al. The effects of propofol, small-dose isoflurane, and nitrous oxide on cortical somatosensory evoked potential and bispectral index monitoring in adolescents undergoing spinal fusion. Anesth Analg 2004;99(5):1334–40.Google ScholarPubMed
Fletcher, JE, Hinn, AR, Heard, CM, et al. The effects of isoflurane and desflurane titrated to a bispectral index of 60 on the cortical somatosensory evoked potential during pediatric scoliosis surgery. Anesth Analg 2005;100(6):1797–803.CrossRefGoogle ScholarPubMed
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1252–6.Google Scholar
Gulur, P, Der, T, Nelli, A, Murray, S. ASA presentation: ketamine infusions for pain control in acute care – prevalence and side effects. Chapel Hill: Duke University, October 21, 2019Google Scholar
Haghighi, SS. Influence of isoflurane anesthesia on motor evoked potentials elicited by transcortical, brainstem, and spinal root stimulation. Neurol Res 1998;20(6):555–8.CrossRefGoogle ScholarPubMed
Lovich-Sapola, JA, DeJoy, S. NeuroMonitoring Anesthesia Protocol. Cleveland: MetroHealth Medical Center, 2020.Google Scholar
Lyon, R, Feiner, J, Lieberman, J. Progressive suppression of motor evoked potentials during general anesthesia: the phenomenon of “anesthetic fade.” J Neurosurg Anesthesiol 2005;17:13–19.Google ScholarPubMed
Miller, RD, Cucchiara, RF, Millere, E, et al. Anesthesia, 5th ed. Philadelphia: Churchill Livingstone, 2000, pp. 1335–45.Google ScholarPubMed
Strahm, C, Min, K, Boos, N, et al. Reliability of perioperative SSEP recordings in spine surgery. Spinal Cord 2003;41(9):483–9.CrossRefGoogle ScholarPubMed
van Dongen, EP, ter Beek, HT, Schepens, MA, et al. Within-patient variability of myogenic MEPs to multipulse transcranial electrical stimulation during two levels of partial neuromuscular blockade in aortic surgery. Anesth Analg 1999;88:22–7.CrossRefGoogle Scholar

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