Training activity: 3

Details

Assess the requirement for pre-operative baseline neurophysiology for spinal surgeries including practicalities of performing for patients requiring:

 

• Lower limb somatosensory evoked potential
• Upper limb somatosensory evoked potential
• Lower limb motor evoked potentials
• Upper limb motor evoked potentials

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Utility of pre-operative neurophysiological studies
• Lower and upper limb somatosensory evoked potentials
• Lower and upper limb motor evoked potentials
• Recording equipment including peripheral devices
• Expected values for lower and upper limb somatosensory evoked potentials
• Expected values for lower and upper limb motor evoked potentials
• Anatomy of the spinal column, cerebral cortex, spinal nerves and innervated muscles and dermatomes

Relevant learning outcomes

#	Outcome
# 1	Outcome Plan and prepare for intraoperative neuromonitoring for spinal surgery
# 2	Outcome Obtain clinical histories for patients undergoing intraoperative neuromonitoring.
# 3	Outcome Identify other investigations and procedures required before spinal surgery is undertaken.
# 4	Outcome Apply legislation and guidelines and manage risk in the performance of intraoperative neuro monitoring.
# 6	Outcome Demonstrate effective and compassionate communication skills with all stakeholders, including patients and the multi-disciplinary team.