Principles and Practice of Intraoperative Neuromonitoring 2019

Pittsburgh, PA US
October 4, 2019 to October 6, 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

 

  1. Neurologists
  2. Surgical Neurophysiologists
  3. PM&R physicians
  4. Neurological Surgeons
  5. Anesthesiologists
  6. Orthopedic Surgeons
  7. Board Certified Neurophysiologists
  8. Vascular Surgeons
  9. Senior Neurophysiology Technologists
  10. ENT Surgeons
  11. Cardiac surgeons

Learning Objectives

 

  1. Advanced principles for neurophysiological monitoring, including instrumentation, neuromonitoring protocols, alarm criteria and clinical efficacy
  2. Minimally invasive spine surgery, including transpsoas approaches
  3. Pre-, peri- and post-operative evaluation of neurological complications including stroke, cognitive deficits, seizure and spinal cord injury
  4. Multimodality monitoring techniques for a broad array of procedures including spine and vascular
  5. Cranial nerve monitoring during skull base procedures
  6. Interpretation and communication with surgical team
  7. Development of a Policy & Procedure manual; documentation and communication with the technologist; development of quality assurance metrics; and staff training
  8. Problem based learning with real-time data analysis and formulation of differential diagnoses

Interactive Workshop Stations

  1. Instruction and the opportunity to practice placing cranial nerve EMG electrodes on a cadaver (including the extra-ocular muscles)
  2. Case study review session where participants will work through differential diagnoses
  3. Cerebrovascular anatomy and the role of IONM in Neurointerventional procedures
  4. Explore technical problems in IONM and

 

Additional Information

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Course summary
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
Course opens: 
10/04/2019
Course expires: 
03/01/2020
Event starts: 
10/04/2019 - 6:00pm EDT
Event ends: 
10/06/2019 - 9:00pm EDT

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 ProceduresMerritt 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 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

UPMC Presbyterian Hospital Biomedical Science Tower
200 Darragh Street
Pittsburgh, PA 15213
United States

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 login or register to take this course.

Please contact Josh Sunderlin at sunderlinrj2@upmc.edu.