Popis: |
The anesthesiologist is a key member of the neurophysiological monitoring team. In addition to providing management to insure patient safety and comfort, the anesthesiologist participates in patient positioning, physiological management, and the conduct of an anesthetic using agents compatible with monitoring of the neural structures at risk. The anesthesiologist is also key to assisting in a search for the etiology of factors leading to changes in the monitoring. These include technical, physiological, pharmacological, positional, and surgical issues. In addition, when monitoring changes signal possible increased neural risk, the anesthesiologist may participate in management strategies to help mitigate injury, such as minimizing oxygen consumption, enhancing collateral blood flow, and increasing oxygen supply. |