Term
| what is an issue with people coughing and the mayfield tongs? |
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Definition
| if they cough hard enough, they could break their neck |
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Term
| how long is the anterior approach to cervical spine surgery on average? |
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Definition
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Term
| should you put the c collar back on after cervical spine surgery? |
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Definition
| yes, the neck is still considered unstable |
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Term
| what structures are at risk during the thoracic approach to spinal surgery? |
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Definition
| great vessels, lung parenchyma, thoracic duct |
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Term
| what is a huge consideration in with the thoracic approach to spine surgery? |
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Definition
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Term
| what is one of the most feared complications of spinal surgery? |
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Definition
| ED....................just kidding, paraplegia |
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Term
| what are the main 2 ways we can check for spinal cord injury during spine surgery? please describe them |
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Definition
| the wake up test (wake em up in the middle of the case and ask if they can move their hands/feet) and sensory evoked potentials (these determine the integrity of the neuro pathway by monitoring nerve stimulation/action) |
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Term
fill in the blanks
sensory evoked potentials evaluate the integrity of ........... neural pathways which are carried in the ....... part of the spinal cord. |
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Definition
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Term
| how does nerve ischemia effect seps? |
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Definition
| decreases amplitude and increases latency |
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Term
| SSEP's are recorded on the ...... |
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Definition
| scalp, around the somatosensory cortex |
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Term
| brain auditory evoked potentials (BAEP's)use sound to measure the integrity of CN 8, this is a concern with surgery of what area in my brain? |
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Definition
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Term
| visual evoked potentials (VEP's) use visual stimuli to evaluate the integrity of CN 2, this is useful in ....... surgery? |
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Definition
| base of the brain or near the optic chiasm |
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Term
| what three SEP's are there and what do they measure? |
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Definition
| visual evoked potentials VEP's (visual stimulus and CN 2 integrity), brain auditory evoked potentials BAEP's (sound and CN 8), and somatosensory evoked potentials SSEP's (peripheral nerve integrity and it is recorded on the scalp) |
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