Past Recorded Webinars
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ASNM’s webinar series provides timely information of special interest to professionals working within the IONM industry and those seeking to learn more about this evolving area of practice. Webinars are included as part of ASNM’s membership and are a worthwhile member benefit. Non-ASNM members can purchase individual webinars. Webinar sessions are presented in "real time” via the Internet. Participants view webinar materials online while listening to the concurrent audio portion of the presentation via their computer audio system. All ASNM webinars are approved for one (1) credit hour of continuing education for ASNM-CEUs and AMA PRA Category 1 Credit(s)TM (CME credit is presently approved for each webinar for one year from the time of the original presentation).

Questions regarding ASNM’s webinar series? Please e-mail Info@ASNM.org or call (630) 832-1300.

Click here to download ASNM’s webinar series brochure!


  PAST RECORDED WEBINARS

Cost for all recorded webinars
Members: Complimentary
Non-members: $59

 

A Comprehensive Guide to Corticospinal Tract Mapping and Monitoring








Charles Yingling, PhD, CNIM, DABNM, FASNM, FACNS
Chief Executive Officer
Golden Gate Neuromonitoring

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by October 11, 2020.
  • Understand the anatomy and physiology of SEP polarity reversal as a method for identifying the central sulcus
  • Understand when transcranial vs direct cortical MEP stimulation should be employed
  • Understand the correct parameters and indications for short vs long train stimulation
  • Know current procedures for avoiding damage to subcortical motor tracts
  • Know safe access methods for resection of intrinsic spinal cord tumors

IONM and Current Trends in Pediatric Surgeries








George Jallo, MD
Director
Johns Hopkins All Children's Institute for Brain Protection Sciences

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by August 30, 2020.
  • Understand the most common pediatric neurosurgical conditions
  • Determine what is the best for intraoperative monitoring
  • Discuss the need to alert the surgeon in cases
  • Understand communication for intraoperative team

 

Neuromonitoring in the Interventional Radiology Suite







James A. Watt, Jr.
VP of Neuromonitoring Services
Comprehensive Neuromonitoring Services

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by May 25, 2020.

This presentation will review the relevant cortical and spinal anatomy, published literature, types of arteriovenous malformations, mapping techniques and case examples. We will also discuss things to think about when monitoring in the IR suite.

 

Navigating Legal Issues in Neuromonitoring







Eric D. Fader
Counsel
Day Pitney LLP

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by March 15, 2020.

There is considerable confusion and disagreement regarding many of the legal and regulatory requirements pertaining to IONM. The laws of different states and the federal government differ and are constantly changing, and IONM providers must also navigate insurance carriers’ and hospitals’ requirements, and relationships with their own or outsourced personnel, in order to bill and get paid for their services while complying with applicable law. State licensure and delegation issues, and what constitutes the “practice of medicine” in a given state, can vary considerably, and contractual dealings with customers, employees and contractors, and billing and IT service providers can also be complex. This webinar will discuss some common legal issues facing IONM providers and, where possible, offer possible solutions.

 

Decision Making in Peri-Laryngeal Surgeries Based Upon
Intraoperative Mapping of the Vagus Nerve







Jeremy A. Bamford, PhD
Clinical Assistant Professor
Department of Neurosurgery, Tulane University School of Medicine
Clinical Neurophysiologist, NuVasive Clinical Services

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by January 18, 2020.

In this presentation I emphasize the efficacy of IONM for successful identification of the anatomic variations of the peri-laryngeal vagus nerve branches and review surgical decisions we make based upon IONM data. Patients with non-recurrent nerves undergo paralysis at significantly higher rates. Abnormally short vagus nerve latency occur in ~ 2.5% of patients and should raise suspicion for the presence of this anomaly. In addition, the use of IONM guides the decision to complete a bilateral resection or to stage the surgery in the case of a decline in evoked EMG amplitude or increase latency. Rigorous mapping of the vagus nerve during peri-laryngeal surgeries is an important adjunct to these surgeries that preserves function and guides the surgical decision-making process.


Utility of Spontaneous EMG, SSEPs, and MEPS to Monitor the
Functional Integrity of Spinal Nerve Roots and Plexuses







W. Bryan Wilent, PhD, DABNM
Vice President of Education and Training
Sentient Medical Systems

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by October 5, 2019.

During most orthopedic procedures SSEPs and MEPs are utilized primarily to assess conduction of the spinal cord pathways, but they obviously monitor the entire pathway, from peripheral nerve to brain or from brain to muscle, and can detect a functional compromise in specific nerve roots or plexuses. The usage of these modalities for monitoring peripheral function is debatable, however, because their utility is procedure/patient specific and the sensitivity and specificity is technique dependent; therefore, the IONM team should be aware when peripheral structures are most at risk and optimize the IONM accordingly.


IONM Considerations in Endonasal Skull Base Surgery






Adam T. Doan, DC, DABNM
Director of Clinical Services
Safe Passage Neuromonitoring

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by July 27, 2019.

Minimally invasive intracranial surgery continues to gain popularity, as advances in visualization, instrumentation and anatomical understanding allows the endoscope to be used to approach the skull base. The endonasal endoscopic route to the skull base can now be used to gain access from the crista galli to the odontoid process. It behooves the neuromonitoring team to appreciate the different neurovascular structures that may be encountered, in order to devise a specific multimodality strategy unique to the patient and the surgery. Knowing the rationale and limitations of the plan optimizes the information collected and communicated.

 

Variables in Pedicle Screw Monitoring







Lawrence R. Wierzbowski, AuD, DABNM, FASNM
Neurophysiologist
Neurological Monitoring Services

Approved for (1) hour of of ASNM-CEUs and AMA PRA Category 1 CreditTM if viewed by June 1, 2019.

It is important to take anatomical, neurophysiological, surgical technique, surgical instrument conductivity and many other variables into consideration when recording triggered and free running electromyographic (EMG) signals in the operating room during spinal fusion with pedicle screw instrumentation. During the electrical evaluation of either the pedicle hole or the subsequent pedicle screw a "threshold" stimulation is commonly employed using the minimum amount of current to provoke an observable and repeatable compound muscle action potential (CMAP). Interpretation and alarm criteria for pedicle screw integrity using stimulated electromyography is usually based on the several published guidelines but are there "other" factors that we need to consider as well?

Below Webinars are Available for Viewing Only, Not Available for Credit


Troubleshooting Intraoperative Neurophysiologic Monitoring Data







Kent Rice, MS, REPT, CNIM, DABNM, FASNM
Director of Education and Training
Biotronic Neuro Network

  • Strategies for evaluating, identifying and resolving common noise patterns observed during IONM.
  • Review a variety of recording and signal processing related technical problems including their identifying characteristics.
  • Troubleshooting intraoperative neurophysiologic monitoring data.


The Use of SEP and MEP Monitoring During Cerebral Aneurysm
Surgery to Predict Brain Ischemia








Lanjun Guo, MD, MS, DABNM
University of California - San Francisco

  • The participants will be able to understand the two main causes of brain ischemia during aneurysm surgery.
  • Describe the roles of using SEPs and MEPs during cerebral aneurysm clipping procedures.
  • Identify brain cortical and subcortical ischemia using SEPs and MEPs during the operation.

Communication in IONM, Let's Talk







Joseph J. Moreira, MD
Neurologist
Intraoperative Monitoring Associates

  • Review of the essential components of the legal document known as chat
  • Fully appreciate the medicolegal ramifications and benefits of a proper line of communication between the neurosurgeon and technician
  • Have both sides of the monitoring team understand each other’s limitations and pitfalls

Surgical Repair of the Brachial Plexus: A Surgeon’s Perspective of IONM







Lynda Jun-San Yang, MD, PhD
Clinical Associate Professor, Neurological Surgery

  • Understand the indications for brachial plexus surgery
  • Understand the role of IOM in brachial plexus surgery
  • Understand the strategies for nerve reconstruction of the brachial plexus.
Neuromonitoring Challenges in the Pediatric Population







Anthony Sestokas, PhD, DABNM, FASNM
Chief Clinical Officer, Neuromonitoring
SpecialtyCare

  • Highlight aspects of nervous system development that produce neuromonitoring challenges in pediatric patients
  • Identify strategies for overcoming neuromonitoring challenges secondary to nervous system development.
  • Review anesthesia management strategies to optimize neuromonitoring in pediatric patients.

Neurosurgical Anesthesiology and Intraoperative Neurophysiological Monitoring: Uniqueness, Controversies, and Case Presentations





 


Laura Hemmer, MD
Assistant Professor, Northwestern University
Feinberg School of Medicine

  • Emphasize value of teamwork and communication between OR teams before and during the surgical procedure.
  • Describe how different anesthetics impact evoked potentials & some controversies on use of different regimes.
  • Discuss frequent anesthetic intraoperative maneuvers’ during neurosurgery and their impact on neuromonitoring.

Neurophysiological Monitoring During Endovascular Procedures







Jeffery Balzer, PhD, D.ABNM, FASNM
Associate Professor of Neurological Surgery, Neuroscience and Acute and Tertiary Care Nursing
Associate Director of the Center for Clinical Neurophysiology
Director of Cerebral Blood Flow Laboratory
University of Pittsburgh Medical Center

  • Understand which procedures pose neurophysiological risk
  • Understand how application of IOM reduces these risks
  • Understand which modalities are applicable to each procedure

Neuromonitoring During Spine Instrumentation and
Deformity Correction Procedures







Jay Shils, PhD, D.ABNM, FASNM
Director of IONM
The Lahey Hospital and Health System
Associate Professor in Neurosurgery
Tufts University Medical School
Founding Partner
Engineurix

Neuromonitoring Below the Belt







Stanley Skinner, MD, FASNM, FACNS
Neurophysiologist
Allina Health
New Practice Guidelines in Facial Nerve Monitoring







Jack Kartush, MD, FASNM
Professor Emeritus
Michigan Ear Institute
Wayne State University

  • Understand the increasing role that practice guidelines and checklists now play in clinical medicine and neurophysiological monitoring
  • Understand the critical issues in intraoperative monitoring including a) which surgical procedures should be monitored, b) how they should be monitored, and c) who should monitor.
  • Be able to list the critical steps in facial nerve monitoring.


Instrumentation Basics from the Amplifier to the Skin: Methods to Minimize Artifact and Risk for Electrical Surgical Unit and MRI Burns






Brett Netherton, MS, FASNM, CNIM
Managing Director
Signal Gear

  • How do you minimize artifact in your recordings?
  • How do you avoid injuring your patient with your electrode attachments?
Blood Supply of the Spinal Cord







Leo Happel, PhD
Professor, Neurology, Neurosurgery, Physiology, and Neuroscience
LSU Health Science Center

  • Present a comparison of functional and classic anatomy
  • Emphasize the DYNAMIC aspect of spinal cord circulation
  • Relate functional anatomy to surgical procedures on the spine
Current Status of Perioperative Multimodality Neuromonitoring
for Cardiovascular Surgery







Harvey L. Edmonds Jr., PhD, ScD
Research Professor Emeritus
Department of Anesthesiology & Perioperative Medicine
University of Louisville School of Medicine

  • Identify the causes and means of detecting potentially injurious physiologic imbalance affecting the nervous system of cardiovascular surgery patients in the perioperative environment.
  • Identify the treatment options available to correct these physiologic imbalances.