Authors (including presenting author) :
WONG WML(1), HUNG CKN(1), CHAN TMD(1)
Affiliation :
Department of Neurosurgery, Prince of Wales Hospital(PWH)
Introduction :
Intra-operative neurophysiological monitoring(IONM) are gradually becoming part of standard medical practice internationally, mainly because they offer an objective and effective way to assess the functional integrity of the nervous system of patients during the course of surgery, including neurosurgery, orthropaedic and vascular surgeries.
Objectives :
To enhance patients' safety & improve surgical outcomes in brain and spine surgeries in Department of Neurosurgery, NDH & PWH, NTEC.
Methodology :
Different monitoring modalities and technique to be used, and the sites of recording and stimulation are chosen on a case by case basis, depending on what structures are at risk in the context of a particular surgical procedure. And, very often, it is necessary to employ multiple tests simultaneously, in order to maximize the sensitivity of IOM.
Nurse-led IONM team works in enhancing patients' safety and improving clinical outcome by:
1.Perform pre-op assessment and provide information/education to patient and family about the surgery & IONM.
2.Conduct intra-operative neurophysiological monitoring during surgery/radiological intervention to minimize surgical risks.
3.Provide post operative patients evaluation & education about the neurological functioning and suggest nursing interventions.
4.Provide education to patients and family for reassurance and gain cooperation during hospitalization and discharged.
Result & Outcome :
Since 2013, ~1000 neurosurgical operated cases received nurse-led IONM services, without prolong neurological complication and improved surgical outcome.
