What is IONM?

IONM (Intraoperative Neuromonitoring) offers an objective and effective way to assess the functional integrity of the nervous system during the course of orthopedic, neurological, or vascular surgery. The real-time information of IONM can often prevent neurological injury and when neurological injury does occur, the immediate feedback from IONM allows the surgical team to swiftly respond and minimize long-term postoperative deficit.

Benefits of IONM

INCREASED PATIENT SAFETY

IONM has become the standard of care by providing real-time analysis of the state of the entire nervous system. This can be utilized as a guiding tool to further establish patient safety.

SHARED LIABILITY

Both the clinician and the supervising physician each have his own malpractice insurance.

ZERO COST TO THE PHYSICIAN

IONM services are reimbursed by insurance.


DOCUMENTATION

As the case progresses the clinician logs down every relevant information that pertains to the procedure. The waveform can also provide proof of pre-existing conditions, in case of litigation.

BOARD CERTIFIED SUPERVISING PHYSICIAN

Every case is remotely monitored by a board certified physician.


IONM SERVICES

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CERVICAL

While brachial plexus injury due to traction or over tightening of the shoulders during cervical procedures isn't common it is important to guard against this possibility.

THORACIC & LUMBAR

While there are many similarities involving spine surgery at T1-L1 vs L2-S1 there is one critical factor to consider from a monitoring perspective.

CARDIO-VASCULAR

Cerebral perfusion monitoring, via an 8 channel EEG covering both cerebral hemispheres enables side to side comparison.

ORTHOPEDIC

Any incision can result in damage to the sensory nerves in the area of the incision. Significant nerve damage, which may cause loss of muscle function, can occur after hip replacement.

PAIN MANAGEMENT

The targeted nerve can be identified using an injectable, mono-polar stimulating needle that sends a small signal to the nerve. The signal is then recorded, utilizing the corresponding muscle group.

Why SignaL IONM?

Our clinicians have years of experience, and utilize state-of-the-art equipment to ensure that surgeons receive superior data reliability during surgery which translates to high-quality care for the patient. Our cost is reasonable and also our clinicians are constantly in communication with a team of Neurologist or DABNM certified professionals for instant analysis of monitoring results.

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