Bone Club #2: Using Neuromonitoring to Avoid Complications in MSK and Pain Procedures

Moderator: 

Peter Thurlow, MD - University of Washington 

Faculty:

Gregory Kinney, PhD - University of Washington 

Darek Stanfield, DC, CNIM - IntraNerve 

Lecture 1: Peter Thurlow, MD

Topic: Practical Introduction to Neuromonitoring to Avoid Complications during MSK Thermal Ablation 

Lecture 2: Gregory Kinney, PhD

Topic: Understand the neurophysiological basis for SEPs and MEPs, what neural structures are evaluated, and advantages and limitations of both tests. And finally gaining an understanding of how these tests are implemented in a ablation procedure, and how results might typically look.

Learning Objectives: Understand the neurophysiological basis for SEPs and MEPs, what neural structures are evaluated, and advantages and limitations of both tests. And finally gaining an understanding of how these tests are implemented in a ablation procedure, and how results might typically look.      

Lecture 3: Darek Stanfield, DC, CNIM 

Topic: From Signals to Decisions: Practical IONM Planning During Cryoablation

Learning Objectives: Describe how to develop a case-specific monitoring plan by identifying the neurologic functions at risk, accounting for preexisting deficits, and agreeing on how the team will respond to a monitoring change. I’ll use two brief cases to illustrate how different procedural goals shape those decisions, along with the practical considerations of working with a contracted IONM service.