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May 2018 Webinar Recording: Neuromonitoring During SCS Placement

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Neuromonitoring During SCS Placement: Physiological Basis

Webinar Recording Instructions:
To access the webinar recording, click this link:

Handouts are located under “Event Resources” under the presenter headshot photograph(s).


CME Only Additional Information:

Neuromonitoring During SCS Placement: Physiological Basis
Release date: May 16, 2018
Expiration date: May 16, 2019
Estimated time to complete activity: 1 hour

Target Audience
This lecture will describe, in detail, the common IONM methodologies that are used during the placement of SCS leads as well as the physiology behind those methods. Common methods include the use of antidromic activation of the alpha-motor neurons via stimulation of the dorsal columns and the use of dorsal column collisions to lateralize the placement of leads. With new stimulation patterns the utilization of these techniques may be more important given standard awake lateralization cannot be used due to lack of standard clinical markers. Additionally, the physiology behind any IONM technique is critical to understand to both know the benefits and limitations of each technique.

Learning Objectives
This webinar aims to help the participant understand:
·       Understanding the methodology for the most common IONM techniques employed in SCS placement
·       Understand the physiology behind these methods
·       Review of the technique literature
·       Know the types of pain the SCS is beneficial for


Jay L. Shils, PhD, D.ABNM, FASNM, FACNS, Director of IONM, Associate Professor in Anesthesiology, Rush University Medical Center

Accreditation and Designation

Approved for
·       1 hr. of ASNM CEUs
·       1 hr. of AMA PRA Category 1 CreditsTM (CME)

 Continuing Medical Education Credit (CME)

The American Society of Neurophysiological Monitoring (ASNM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. ASNM designates this activity for AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

ASNM Continuing Education Credit

ASNM is an ABRET approved provider of continuing education for their IONM related credentials. ABRET is the credentialing board for Electroencephalographic (EEG) Technologists, Evoked Potential (EP) Technologists, and Neurophysiologic Intraoperative Monitoring (CNIM) Technologists, Long Term Monitoring (CLTM) Technologists, and Autonomic Testing Professionals (CAP). Such crediting, however, should not be construed by program participants as endorsement of any type of instruments or supplies mentioned or involved in these presentations. Please be advised that for continuing education hours to apply towards the EEG test, they must be ASET CEUs; however, ASNM CEUs are eligible for the recertification of the EEG credential as well as towards CNIM and EP credentials and recertification.

To receive credit, you must take the evaluation at the end of the webinar.  The evaluation will pop-up after the webinar has finished.  Once you take the webinar the system will send you your attendance certificate.

If you need to close out of the webinar, please use the “X” in the webinar window – see picture below.


If you have any questions or issue, please contact ASNM directly at or (630) 832-1300.

Commercial Support None

Faculty and Planners Disclosure Statement

As a provider dedicated to independent education and accredited by the ACCME, ASNM must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. It is the policy of ASNM to require disclosure of the existence of any significant financial interest or other relationship a faculty member, planner, or a sponsor has with either the commercial supporter of this activity or the manufacturer(s) of any commercial product(s) discussed in an educational presentation:

Faculty Disclosures
Jay Shils, PhD, has disclosed income from Elsevier, research income from Medtronic; consultant income from Globus; advisory board income from Engineurix

Planner Disclosures
Patty Warf, RN MS, CNIM, FASNM, FASET, LSSGB, disclosed no relevant financial relationships.
Carol Ingmanson ASNM, disclosed no relevant financial relationships.
Maureen Howard, ASNM, disclosed no relevant financial relationships.

Patty Warf, RN MS, CNIM, FASNM, FASET, LSSGB, disclosed no relevant financial relationships
James Lowe, BS, EEG/EP T., CNIM, CLTM, has disclosed no relevant financial relationships

Independent Reviewer
Rich Toleikis, PhD, Independent Reviewer, has disclosed no relevant financial relationships.

Method of Participation to Earn CME/CE Credit There are no fees or pre-requisites for participating in and receiving credit for this online live educational activity. Participants must:

1. Read the educational objectives and disclosure statements
2. Participate in the entire educational session
3. Complete the evaluation
4. Submit the evaluation to ASNM

Credit will be issued upon receipt of a completed activity evaluation. You will be emailed your activity certificate. This activity should take (1) hour to complete.

Disclaimer The opinions expressed in the enduring educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

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© Copyright 2018 by ASNM. This also contains material copyrighted by third parties.

Contact Information
ASNM 275 N. York Street, Elmhurst, IL 60126
Phone: (630) 832.1300 Fax: (630) 563.9181