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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0002903,
umls-concept:C0013786,
umls-concept:C0028215,
umls-concept:C0143993,
umls-concept:C0184511,
umls-concept:C0871261,
umls-concept:C1444748,
umls-concept:C1513492,
umls-concept:C1704632,
umls-concept:C1705994,
umls-concept:C1706817,
umls-concept:C1709450,
umls-concept:C2346753,
umls-concept:C2911692
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pubmed:issue |
2
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pubmed:dateCreated |
1995-9-7
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pubmed:abstractText |
Measurement of motor evoked responses to transcranial stimulation (tc-MER) is a technique for intraoperative monitoring of motor pathways in the brain and spinal cord. However, clinical application of tc-MER monitoring is hampered because most anesthetic techniques severely depress the amplitude of motor evoked responses. Because paired electrical stimuli increase tc-MER responses in awake subjects, we examined their effects in anesthetized patients undergoing surgery. METHODS. Eleven patients whose neurologic condition was normal and who were undergoing spinal or aortic surgery were anesthetized with sufentanil-N20-ketamine. Partial neuromuscular blockade (single-twitch height 25% of baseline) was maintained with vecuronium. Single and paired electrical stimuli were delivered to the scalp, and compound action potentials were recorded from the tibialis anterior muscle. The amplitude and latency of the tc-MERs were measured as the interval between paired stimuli was varied between 0 (single stimulus) and 10 ms. All recordings were completed before spinal manipulation or aortic clamping.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0003-3022
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
270-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7631948-Action Potentials,
pubmed-meshheading:7631948-Adolescent,
pubmed-meshheading:7631948-Adult,
pubmed-meshheading:7631948-Aged,
pubmed-meshheading:7631948-Anesthesia,
pubmed-meshheading:7631948-Brain,
pubmed-meshheading:7631948-Electric Stimulation,
pubmed-meshheading:7631948-Female,
pubmed-meshheading:7631948-Humans,
pubmed-meshheading:7631948-Male,
pubmed-meshheading:7631948-Middle Aged,
pubmed-meshheading:7631948-Monitoring, Intraoperative,
pubmed-meshheading:7631948-Muscles,
pubmed-meshheading:7631948-Nitrous Oxide,
pubmed-meshheading:7631948-Reaction Time,
pubmed-meshheading:7631948-Sufentanil
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pubmed:year |
1995
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pubmed:articleTitle |
Improved amplitude of myogenic motor evoked responses after paired transcranial electrical stimulation during sufentanil/nitrous oxide anesthesia.
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pubmed:affiliation |
Department of Anesthesiology, Academic Medical Center, University of Amsterdam, The Netherlands.
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pubmed:publicationType |
Journal Article
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