Abstract

Intraoperative neurological monitoring (OPNM) has been considered as an important component of neurosurgical and nonneurosurgical procedures. IONM provides instant feedback concerning neural function and supports the prevention of intraoperative neural injury, enhancing the patient outcomes and the safety. Anesthesiologists play an important role in IONM techniques. In addition to monitoring physiological conditions, anesthesiologists also closely collaborate with the surgical team for interpreting data from monitoring, making appropriate strategies in advance of potential complications. Somatosensory evoked potentials (SSEPs), motor evoked potentials (MEPs), transcranial Doppler (TCD), and electroencephalography (EEG) have significantly increased precision and reliability in IONM. This article reviews the essential elements and components of intraoperative monitoring further underscores the integral place of the anesthesiologist in providing intraoperative care, not merely emphasizing management under anesthesia but neurological monitoring that enhances patient safety while further improving surgical outcomes.