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principles 2, test 2, ortho lecture slides 30-39
the smelly taint gathers no tounge
13
Nursing
Graduate
10/16/2009

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Cards

Term
what is an issue with people coughing and the mayfield tongs?
Definition
if they cough hard enough, they could break their neck
Term
how long is the anterior approach to cervical spine surgery on average?
Definition
about 2 hours
Term
should you put the c collar back on after cervical spine surgery?
Definition
yes, the neck is still considered unstable
Term
what structures are at risk during the thoracic approach to spinal surgery?
Definition
great vessels, lung parenchyma, thoracic duct
Term
what is a huge consideration in with the thoracic approach to spine surgery?
Definition
split lung ventilation
Term
what is one of the most feared complications of spinal surgery?
Definition
ED....................just kidding, paraplegia
Term
what are the main 2 ways we can check for spinal cord injury during spine surgery? please describe them
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)
Term
fill in the blanks
sensory evoked potentials evaluate the integrity of ........... neural pathways which are carried in the ....... part of the spinal cord.
Definition
acending, posterior
Term
how does nerve ischemia effect seps?
Definition
decreases amplitude and increases latency
Term
SSEP's are recorded on the ......
Definition
scalp, around the somatosensory cortex
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?
Definition
near the brain stem
Term
visual evoked potentials (VEP's) use visual stimuli to evaluate the integrity of CN 2, this is useful in ....... surgery?
Definition
base of the brain or near the optic chiasm
Term
what three SEP's are there and what do they measure?
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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