Principles and Practice of Intraoperative Neuromonitoring 2019
The course will highlight practice specifications, multimodality protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Presentations will make reference to current literature, technical developments, methodologies and clinical efficacy. The faculty includes University of Pittsburgh Medical Center physicians and neurophysiologists with extensive clinical and academic expertise in IONM. The course is designed to expose the participants to material that will allow them to acquire a comprehensive understanding of IONM and how it relates to a wide variety of relevant topics.
Target Audience
- Neurologists
- Surgical Neurophysiologists
- PM&R physicians
- Neurological Surgeons
- Anesthesiologists
- Orthopedic Surgeons
- Board Certified Neurophysiologists
- Vascular Surgeons
- Senior Neurophysiology Technologists
- ENT Surgeons
- Cardiac surgeons
Learning Objectives
- Advanced principles for neurophysiological monitoring, including instrumentation, neuromonitoring protocols, alarm criteria and clinical efficacy
- Minimally invasive spine surgery, including transpsoas approaches
- Pre-, peri- and post-operative evaluation of neurological complications including stroke, cognitive deficits, seizure and spinal cord injury
- Multimodality monitoring techniques for a broad array of procedures including spine and vascular
- Cranial nerve monitoring during skull base procedures
- Interpretation and communication with surgical team
- Development of a Policy & Procedure manual; documentation and communication with the technologist; development of quality assurance metrics; and staff training
- Problem based learning with real-time data analysis and formulation of differential diagnoses
Interactive Workshop Stations
- Instruction and the opportunity to practice placing cranial nerve EMG electrodes on a cadaver (including the extra-ocular muscles)
- Case study review session where participants will work through differential diagnoses
- Cerebrovascular anatomy and the role of IONM in Neurointerventional procedures
- Explore technical problems in IONM and
Additional Information
Attachment | Size |
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Brochure_7866.pdf | 523.03 KB |
DAY 1: FRIDAY, OCT. 4th | ||||
7:00A–7:30A | Continental Breakfast | |||
7:30A – 7:45A | Welcome address | Jeff Balzer PhD/Josh Sunderlin MS, CNIM | ||
Principles of Intraoperative Neuromonitoring: | ||||
7:45A–8:15A | IONM: The History and Physiological Basis | Partha Thirumala MD | ||
8:15A–9:00A | Principles of EEG Monitoring during surgery | Katherine Anetakis, MD | ||
9:00A–9:45A | Principles of SSEP Monitoring During Surgery | James Castellano, MD | ||
9:45A–10:30A | Principles of TcMEP Monitoring During Surgery | Jeffrey Balzer, PhD | ||
10:30A–11:00A | Principles of BAER Monitoring During Surgery | Partha Thirumala, PhD | ||
11:00A–11:45A | Lunch break | |||
IONM For Spinal Surgery: | ||||
11:45A–12:15P | Pediatric scoliosis procedures | Patrick Bosch, MD | ||
12:15P–1:00P | Minimally Invasive Spine Procedures | Jeff Balzer, PhD | ||
1:00P– 1:30P | Complex Adult spinal deformity | Jacob Joseph, MD | ||
1:30P – 2:00P | Cervical and Thoracic Spine Trauma | Jeremy Shaw, MD | ||
2:00PM – 2:15P | BREAK (15 min) | |||
IONM and Stroke: | ||||
2:15P – 2:45P | Neurointerventional Procedures | Merritt Brown, MD | ||
2:45P – 3:15P | Carotid Endarterectomy | Robert Friedlander, MD | ||
3:15P – 3:45P | IONM for Stroke Prevention | Partha Thirmula, MD | ||
Microvascular Decompression: | ||||
3:45P-4:30PM | Microvascular Decompression Procedures | Ray Sekula, MD | ||
4:30P | Adjournment | |||
5:30P – 7:30P | Meet and Greet with Faculty & Exhibitors, Hilton Garden Inn | |||
DAY 2: SATURDAY, OCT. 5th | ||||
7:00A–7:30A | Continental Breakfast | |||
7:30A – 7:45A | Day 2 Announcements | Jeffrey Balzer PhD/ Josh Sunderlin MS | ||
Outside the box: | ||||
7:45A– 8:15A | Artificial Intelligence in Medicine | Shyam Visweswaran, MD, PhD | ||
Procedure Specific IONM: | ||||
8:15A – 8:45A | Pediatric Neurosurgical Procedures | Elizabeth Tyler-Kabara, MD | ||
Day 2: Saturday OCT. 5th (continued) | ||||
8:45A – 9:15A | Controversies in IONM: Alarm Criteria for TCMEP | Partha Thirumala, MD | ||
9:15A – 9:30A | BREAK (15min) – Exhibitor area | |||
9:30A – 10:00A | Neurophysiologic techniques for improving DBS lead placement and post-operative optimization | Jay Shils, PhD | ||
10:00A – 10:45A | IONM in India | Nishanth Sampath, MD | ||
Keynote Speech: | ||||
10:45A – 11:30A | "The Multimodality Neurophysiologic Mapping Technique in Supratentorial Surgery – An Evolving Journey" | Mirela Simon, MD | ||
11:30A – 12:30P | Lunch in Exhibitor area | |||
Workshops: | ||||
12:30P– 1:00P | Bloodborne Pathogens lecture and exam | Josh Sunderlin, MS | ||
1:00P – 5:15P | Interactive Workshop Stations | |||
Station 1: Placing cranial nerve EMG electrodes on cadavers | Wendy Fellows-Mayle PhD/ Ryan Quallich, CNIM | |||
Station 2: Interactive Case Study Review Session | Partha Thirumala, MD/ Josh Sunderlin, MS, CNIM | |||
Station 3: Cerebrovascular Anatomy and Interactive Case Studies | Jeffrey Balzer, PhD/ Carly Brog, CNIM | |||
Station 4: Troubleshooting Technical Problems with IONM Equipment | Katherine Anetakis, MD/ Andrew Moyer, CNIM | |||
5:15P | Adjournment | |||
DAY 3: SUNDAY, OCT. 6th | ||||
7:30A – 7:45A | Day 3 Announcements | Jeffrey Balzer PhD | ||
7:45A–8:30A | IONM FOR cardiovascular Procedures | Ibrahim Sultan, MD | ||
Improving IONM Practice: | ||||
8:30A – 9:15A | Managing IOM practice | Ryan Quallich, CNIM | ||
9:15A – 9:45A | Formal Education in IONM | Josh Mergos, MS | ||
9:45A – 10:00A | BREAK (15min) | |||
10:00A – 10:30A | Troubleshooting in IONM | Josh Sunderlin, MS | ||
10:30A – 11:15A | Quality Assurance in IONM | Mindy Corridoni CNIM | ||
11:15A – 12:00P | Communication and Documentation (Medico-legal implications) | Jeffrey Balzer, PhD | ||
12:00P | Conference Adjournment |
Course Directors
Jeffrey R. Balzer, PhD, FASNM,DABNM
Associate Professor of Neurological Surgery, Neuroscience and Acute and Tertiary Care Nursing
Director, Clinical Operations, Center for Clinical Neurophysiology
Director, Cerebral Blood Flow Laboratory University of Pittsburgh Medical Center
Partha Thirumala, MD, FACNS,FAAN
Associate Professor of Neurological Surgery and Neurology
Medical Director, Center for Clinical Neurophysiology University of Pittsburgh Medical Center
Course Coordinator
R. Joshua Sunderlin, M.S., CNIM
Education Specialist – Procirca Center for Clinical Neurophysiology
Faculty
Katherine Anetakis, MD
University of Pittsburgh Department of Neurological Surgery
Jeffrey Balzer, PhD
University of Pittsburgh Department of Neurological Surgery
Patrick Bosch, MD
University of Pittsburgh Department of Orthopedic Surgery
Carly Brog, CNIM
Procirca Center for Clinical Neurophysiology
James Castellano, MD
University of Pittsburgh Department of Neurological Surgery
Mindy Corridoni, CNIM
Procirca Center for Clinical Neurophysiology
Uma Duvvuri, MD
University of Pittsburgh Department of Otolaryngology
Wendy Fellows-Mayle, PhD
University of Pittsburgh Department of Neurological Surgery
Robert Friedlander, MD
University of Pittsburgh Department of Neurological Surgery
Ashutosh Jadhav, MD
University of Pittsburgh Department of Neurological Surgery
Rachel Mihal, CNIM
Procirca Center for Clinical Neurophysiology
Andrew Moyer, CNIM
Procirca Center for Clinical Neurophysiology
David Okonkwo, MD
University of Pittsburgh Department of Neurological Surgery
Ryan Quallich, CNIM
Procirca Center for Clinical Neurophysiology
Nishanth Sampath, MD
SIMS Institutes for Medical Science, New Dehli
Mirela Simon, MD
Department of Neurology, Harvard Medical School
Jay Shils, PhD
Department of Anesthesiology, Rush Medical College
Raymond Sekula, MD
University of Pittsburgh Department of Neurological Surgery
Jeremy Shaw, MD
University of Pittsburgh Department of Orthopedic Surgery
Ibrahim Sultan, MD
University of Pittsburgh Department of Cardiovascular Surgery
R. Joshua Sunderlin
Procirca Center for Clinical Neurophysiology
Partha Thirumala, MD
University of Pittsburgh Department of Neurological Surgery
Elizabeth Tyler-Kabara, MD
University of Pittsburgh Department of Neurological Surgery
Shyam Visweswaran, MD, PhD
University of Pittsburgh
Faculty Disclosure:
All individuals in a position to control the content of this education activity including members of the planning committee, speakers, presenters, authors, and/or content reviewers have disclosed all relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.
The following relevant financial relationships were disclosed:
Robert Friedlander, MD
Consultant: Neubase Therapeutics, Inc; DiFusion, Inc.
Stockholder: Neubase Therapeutics, Inc; DiFusion, Inc.
Jay Shils, Ph.D
Grant/Research Support: Abbott
Consultant: Medtronic; Globus; DepuySynthes
Stock Holder: Medtronic
Elizabeth Tyler-Kabara, MD, Ph.D
Grant/Research Support: RenerexBio
No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Pittsburgh School of Medicine designates this live activity for a maximum of 20.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 20.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 20.50 Attendance
Please contact Josh Sunderlin at sunderlinrj2@upmc.edu.