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What is Intraoperative Monitoring?
Intraoperative Monitoring, also known as Intraoperative Neurophysiological Monitoring (IONM), is a technology that is used to reduce the risk of neurological injuries or damage to a patient during surgery which are not evident until after an operation. IONM records electrical responses from sensors placed on the patient's body and monitors the functional integrity of the body's neural network. The information provided by IONM allows a surgeon to perform a safer surgery for the patient.

Who performs the Intraoperative Monitoring?
A minimum of two of our staff members work together to perform the Intraoperative Monitoring. The first staff member is a board-certified or board-eligible surgical neurophysiologist who is with the patient in the operating room and the other member is a physician who reviews the data via real time monitoring over the internet.

What kind of tests are performed using Intraoperative Monitoring?

The Evoked Potential (SSEP and tceMEP)
This measures and records the electrical activity from a patient's nervous system in direct response to external stimuli.

Pedicle Screw implant Testing
During surgery, a small electrical current is sent through a probe placed over a pedicle screw to determine that there has been no breach in a bone which could potentially irritate a nerve.

Electromyography (EMG)
This measures and records electrical activity from the patient's muscular system in direct response to external stimuli.

The Electroencephalogram (EEG)
This measures and records the on-going electrical activity of the brain.

Nerve Conduction Studies (NCS)
This records how long it takes for a nerve stimulated with an electrical impulse to reach the muscle.

Why is my surgeon using Intraoperative Monitoring?
Your well-informed surgeon wants the most advanced, state-of-the-art technology to assist him/her in achieving the best outcome for your procedure by utilizing real time testing of nerve functions.

Who requested IONM for my surgery?
Your surgeon has requested our services to assist him/her in achieving the best outcome for your procedure.

What will the Electroneurodiagnostic (END) surgical neurophysiologist do during my surgery?
Our surgical neurophysiologist will take a brief history before you go into the operating room and answer any questions you may have. The technologist will then place a series of sticky electrodes at several points along your nerve pathway. Some electrodes will have small needles which will be attached in the operating room when you are asleep. All of these electrodes will collect data during the surgery which is sent to our physician off-site to review and analyze. For any issue that may arise, our technologist and physician can communicate instantly to the surgeon. We are watching over you so rest easy.

What type of education and training do END surgical neurophysiologist have?
The credentials of our staff are among the highest level in the industry. Each surgical neurophysiologist is board-certified or eligible in CNIM or EPT from ABRET.

Will I be billed for Intraoperative Monitoring?
Our services are covered by most insurance plans. Of course, each insurance policy is unique to each patient. You should always check with your insurance company for more information. Neurolink does provide services regardless of a patient's personal ability to pay. If you have any questions or concerns, our billing specialist is available to answer them at 888-344-2947.

What is the benefit of having Neurolink Monitoring surgical neurophysiologist monitor surgery, as opposed to using an unattended monitoring system?
Having a surgical neurophysiologist in the operating room allows the surgeon to focus all of his attention on the surgery and not reading data and reports.

Do you offer remote monitoring for physician supervision?
Neurolink Monitoring provides remote physician supervision as an integral part of its service. It's like having another doctor in the operating room. This physician is interpreting the data from the surgical neurophysiologist in real time. This is very important since many medical conditions can affect the quality of the results (i.e., types of anesthesia, medications and patient health history).

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