What We Offer
With over 20 years of experience, CDI continues to uphold its standard of providing exceptional patient care through our Intraoperative Neurophysiological Monitoring (IOM) services. We monitor cases not only for the patient's benefit, but also to the surgeon's satisfaction. Studies have shown that our professional services have decreased morbidity, decreased rehabilitation time, and have fewer than 0.1% unexpected outcomes. If you are unsure of when to use IOM or what testing modalities to consider, please visit our IOM Procedures page or call us directly.
CDI's highly skilled technologists are CNIM certified. Technologists maintain and advance their proficiency in the field of IOM through continuing medical education.
What to expect:
- On the day of the case, our experienced technologist will be prepared and ready to start the case 30 minutes before its scheduled time.
- The technologist will interview the patient prior to the procedure to confirm the patient's history.
- The attending physician will discuss with the surgeon and our technologist the best monitoring approach for that particular patient and procedure. Our physicians base their decisions with respect to the patient's particular needs, the surgeon's preference, and the most appropriate IOM approach we have developed over our 20+ years of experience to be most advantageous.
- Once the patient is anesthetized, the technologist will insert sub-dermal electrodes into the patient, using proper sterile technique, according to the monitoring plan.
- Use of our proprietary NeuroNet software allows for the most effective monitoring by our technologists:
◊ Once baselines are being collected, IOM is provided throughout the case with real-time remote monitoring by the interpreting physician. The use of telecommunications to/from the operating room permits the immediate interpretation of the neurophysiological tests, as well as professional feedback regarding the data.
◊ The surgeon is instantly informed by the technologist should any change in responses occur.
◊ Comments are entered into the computer and directly transmitted to/from the attending neurophysiologist, as well as becoming part of the patient's permanent case record. Communications between the surgeon and interpreting physician may occur upon request of either parties.
- At the end of the case, the technologist will document the monitoring with a preliminary note that is placed in the patient's chart.
- The technologist will then remove all electrodes from the patient before s/he wakes up from anesthesia and is taken out of the room.
- Following the case, a full report by the attending physician, which describes the modalities used, pathways monitored, baseline responses, and any changes that may have occurred, is sent to the surgeon and hospital medical records.