Intraoperative Neurophysiological Monitoring hands-on Training

Intraoperative Neurophysiological Monitoring (IONM) encompasses the application of a wide variety of electrophysiological methods to, continuously; monitor the functional integrity of central and peripheral nervous system during surgical procedures. IONM helps improve patient outcome by carefully assessing the functional status of nervous tissue, including spinal column tracts, eloquent brain regions, and peripheral nerves. This neurophysiologic information helps the surgeon perform a safer procedure by provide real time data about impending adverse changes in nervous system function, if any, so that immediate corrective action can be taken to reduce the risk of permanent injury. The surgical neurophysiologist in the operating room can carry out this role.
The hands-on course will focus on the technical understanding of data acquisition and measurement, as well as neuroanatomy, neurophysiology and the specificity and the sensitivity of electrophysiological tests in monitoring and mapping of neural structures.
This hands-on training program/course will highlight practice specifications, multimodality protocols, and recent advances in the field and pre/post-operative neurological evaluation. The course is designed to expose the participants to material that will allow them to acquire a comprehensive understanding of IONM.
The practical part of the program will allow the candidates to develop their hands-on skills in the operating room under the supervision of senior surgical neurophysiologists and learn to monitor basic and advanced spine and cranial surgeries.

By the end of this program participant will be able to:

1. Evaluate various case studies in IONM, distinguishing between normal and abnormal findings.
2. Simulate cases by setting up and modifying protocols and creating reports.
3. Explore how to troubleshoot situations that may arise in the operating room.
4. Participate in neuromonitoring of surgical cases in the operating room setting with a senior surgical neurophysiologist.

1. Explain the importance of IONM to detect and prevent neurological injury.
2. Discuss the monitoring plan with the surgeon and anaesthesia team
3. Set up monitoring equipment in the OR following biomedical safety standards.
4. Adjust recording and stimulation parameters to acquire optimal data.
5. Interact with the surgical team to provide timely information about the patient’s neurologic status.
6. Understand the physiologic and anaesthetic conditions that influence the various IONM modalities.
7. Understand the clinical correlations between abnormal IONM recordings, various disease states and surgical injury to the nervous system.
8. Appropriately record all communication with the surgical team to be represented in the patient’s medical record.

1- Diploma / postdoctoral fellowship of surgical neurophysiology from Global Innervation

2- Bachelor’s Degree of Medicine (M.B.B.Ch.)

3- Master and/or Doctorate degree of Physiology, Clinical Neurophysiology, Neurology and Neurosurgery

4-Current resume or CV

5-Any formal or informal experience in neuromonitoring.