The "state of the art" of intraoperative neurophysiological monitoring: An Italian neurosurgical survey.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ricciuti Riccardo Antonio, Mancini Fabrizio, Guzzi Giusy, Marruzzo Daniele, Dario Alessandro, Della Puppa Alessandro, Ricci Alessandro, Barbanera Andrea, Talacchi Andrea, Schwarz Andreas, Germanò Antonino, Raco Antonino, Colamaria Antonio, Santoro Antonio, Boccaletti Riccardo, Conti Carlo, Conti Carlo, Cenci Nunzia, Cossandi Christian, Bernucci Claudio, Lucantoni Corrado, Costella Giovanni Battista, Garbossa Diego, Zotta Donato Carlo, De Gonda Federico, Esposito Felice, Giordano Flavio, D'Andrea Giancarlo, Piatelli Gianluca, Zona Gianluigi, Spena Giannantonio, Tringali Giovanni, Barbagallo Giuseppe, Giussani Carlo, Gladi Maurizio, Landi Andrea, Lavano Angelo, Morabito Letterio, Mastronardi Luciano, Locatelli Marco, D'Agruma Michele, Lanotte Michele Maria, Montano Nicola, Santonocito Orazio Santo, Pompucci Angelo, de Falco Raffaele, Randi Franco, Bruscella Sara, Sartori Ivana, Signorelli Francesco, Tosatto Luigino, Trignani Roberto, Esposito Vincenzo, Innocenzi Gualtiero, Paolini Sergio, Vitiello Vincenzo, Cavallo Michele Alessandro, Sala Francesco
Аннотация
RESEARCH QUESTION: The section of Functional Neurosurgery of the Italian Society of Neurosurgery realized a survey aiming to obtain general data on the current practice of IOM in Italy.
MATERIALS AND METHODS: A 22-item questionnaire was designed focusing on: volume procedures, indications, awake surgery, experience, organization and equipe. The questionnaire has been sent to Italian Neurosurgery centers.
RESULTS: A total of 54 centers completed the survey. The annual volume of surgeries range from 300 to 2000, and IOM is used in 10-20% of the procedures. In 46% of the cases is a neurologist or a neurophysiologist who performs IOM. For supra-tentorial pathology, almost all perform MEPs (94%) SSEPs (89%), direct cortical stimulation (85%). All centers perform IOM in spinal surgery and 95% in posterior fossa surgery. Among the 50% that perform peripheral nerve surgery, all use IOM. Awake surgery is performed by 70% of centers. The neurosurgeon is the only responsible for IOM in 35% of centers. In 83% of cases IOM implementation is adequate to the request.
DISCUSSION AND CONCLUSIONS: The Italian Neurosurgical centers perform IOM with high level of specialization, but differences exist in organization, techniques, and expertise. Our survey provides a snapshot of the state of the art in Italy and it could be a starting point to implement a consensus on the practice of IOM.