intraoperative monitoring used in operation theatre

this ppt is about intraoperative monitoring which we follow in ot in hospitals

1. INTRAOPERATIVE MONITORING MICRO-TEACHING SUBMITTED TO: MS. NEELAM MAKHIJA

2. LIST OF CONTENTS Introduction goals of IOM Types of intra-operative monitoring Importance of IOM Benefits, Challanges & Complications Nursing interventions

3. INTRODUCTION intraoperative monitoring(IOM) is a specialized technique used during surgeries to assess the nervous system’s function in real time. It helps surgeons identify and prevent potential damage to critical neural structures like the brain, spinal cord, and peripheral nerves during operations. By using various tools like : electroencephalograms(EEG) electromyography(EMG) IOM allows for immediate adjustments during surgery, enhancing patient safety and outcomes. EEG EMG

4. Early detection of neural surgery preservation of neural function reduction of post-opertive complications optimizing surgical outcomes supporting high risk surgeries PURPOSE

5. TYPES OF INTRA-OPERATIVE MONITORING Electroencephalopathy(EEG) : monitors brain activity. Somatosensory evoked potentials(SSEP) : tracks sensory pathway integrity. Motor evoked potentials(MEP) : monitors motor pathways. Electromyography(EMG) : measures muscle response to nerve stimulation. Brainstem auditoryevoked potentials(BAEP) : assesses auditory pathway.

6. Vascular surgery : e.g; carotid artery surgeries Cardiac surgeries Otolaryngology: e.g;acoustic neuroma removal APPLICATION OF IOM Neurosurgery :e.g; brain,spinalcord, brain tumors orthopedic surgery: e.g;scoliosis correction (IOM)

7. BENEFITS Enhances surgical precision Reduces intraoperative complications. promotes better patients outcomes. Enables real-time adjustments to surgery.

8. COMPLICATIONS OF IOM TECHNICAL FAILURE: -eqipment malfunction - signal interferene FALSE POSITIVE / NEGATIVES PATIENT-RELATED FACTORS: -anesthetic effects -patient movement INJURY FROM ELECTRODES: -skin burns -nerve or muscle damage DELAYED REPONSE TIME: -time lag in interpretation INADEQUATE COVERAGE OF ALL NEURAL PATHWAYS ADDITIONAL COSTS AND RESOURCES.

9. NURSING INTERVENTIONS preoperative preperation: -patient education -assessment of medical history -skin and electrode site preperation -positioning the patient Intraoperative monitoring support: -equipment setup and collabration -anesthetic management -observation and documentation -communication patient safety: -prevent skin and nerve injuries -prevent hypothermia postoperative care: -post-surgical assessment -documentation collaboration and advocacy: -advocate for patient safety

10. CONCLUSION Intraoperative monitoring is a valuable tool that enhances patient safety during complexes surgeries by providing real time feedback on the functional integrity of the nervous system. IOM detects early signs of potential injury, enabling surgeons to take corrective actions and prevent long term neurological damage. IOM significantly contributes to safer and more precise operations, especially in neurosurgical and spinal procedure.

11. THANK YOU