nuwe等人合并上可用的最佳证据的使用在脊髓诱发电位操作。[1]然而,专注于术中神经生理学监测的价值(IOM)警报在预测术后电动机赤字并不提供新的回答这个问题:“为什么使用国际移民组织?。”The guideline authors agree with the results of a review [2] that supported IOM as a predictive diagnostic tool with a high level of evidence. Prediction alone is insufficient to warrant use of IOM especially when actual outcomes will be revealed almost immediately following the surgery. Also, short-term prediction is insufficient to justify the costs of the specialized equipment, technicians, and professional oversight necessary for proper IOM performance. The evidence for IOM to alter outcomes is weak with only one non-randomized study [3] showing a 52% rate of preventing neurological deficits from acting on IOM alerts. In the absence of randomized controlled trials, outcomes research from large observational datasets may clarify the utility of IOM as cost-effectiveness becomes a greater factor in medical decision making. [4]
1。Galloway nuwe先生,爱默生RG, G, et al .循证指南更新:术中脊髓监测与躯体感觉和经颅电运动诱发电位。首页神经学2012;78:585 - 589。
2。费林MG, Brodke DS,协会,Dettori JR .)在脊柱手术术中神经生理学监视的证据:有影响吗?:脊椎(费拉Pa 1976)。美国,2010:S37-46。
nuwe等人合并上可用的最佳证据的使用在脊髓诱发电位操作。[1]然而,专注于术中神经生理学监测的价值(IOM)警报在预测术后电动机赤字并不提供新的回答这个问题:“为什么使用国际移民组织?。”The guideline authors agree with the results of a review [2] that supported IOM as a predictive diagnostic tool with a high level of evidence. Prediction alone is insufficient to warrant use of IOM especially when actual outcomes will be revealed almost immediately following the surgery. Also, short-term prediction is insufficient to justify the costs of the specialized equipment, technicians, and professional oversight necessary for proper IOM performance. The evidence for IOM to alter outcomes is weak with only one non-randomized study [3] showing a 52% rate of preventing neurological deficits from acting on IOM alerts. In the absence of randomized controlled trials, outcomes research from large observational datasets may clarify the utility of IOM as cost-effectiveness becomes a greater factor in medical decision making. [4]
1。Galloway nuwe先生,爱默生RG, G, et al .循证指南更新:术中脊髓监测与躯体感觉和经颅电运动诱发电位。首页神经学2012;78:585 - 589。
2。费林MG, Brodke DS,协会,Dettori JR .)在脊柱手术术中神经生理学监视的证据:有影响吗?:脊椎(费拉Pa 1976)。美国,2010:S37-46。
3所示。Wiedemayer H, Fauser B, Sandalcioglu即谢弗H, Stolke d .神经生理学的影响术中监测对手术决策:423例的批判性分析。J Neurosurg 2002; 96:255 - 262。
4所示。内伊JP, van der DN,渡边JH。脊柱手术术中神经生理学的成本效益监测:开始的步骤。临床神经生理学出版社。
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