Training activity information
Details
Regularly monitor and interpret recorded responses throughout surgical procedures for spinal, to include:
- communicating with the theatre team
- identifying and responding to factors impacting responses
- documenting any relevant pathogenic, non-pathogenic, and neurophysiological changes when required.
For both:
- Lower limb somatosensory evoked potentials
- Upper limb somatosensory 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
- Physiological variations and tolerances
- Anaesthetic fade
- Warning criteria (alerts) for somatosensory evoked potentials
- EEG artefact
- Timely and effective communication
- Technical issue identification and rectification
- Effects of anaesthesia on the central nervous system
- Effects of anaesthetic and neuromuscular agents of somatosensory evoked potentials
- Systemic variables
- Stop moments
- Surgical techniques and procedures e.g. osteotomies, distraction, decortification.
- Monitoring, anaesthetic, and surgical actions to be taken in the event of a warning (alert)
- Multidisciplinary team working
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Follow the pre-operative plan for intraoperative neuromonitoring for spinal surgery, making any necessary adjustments based on information available on the day of monitoring. |
| # 4 |
Outcome
Identify and respond to factors that impact intraoperative neuromonitoring for spinal surgery including technical problems and physiological effects. |
| # 5 |
Outcome
Identify, communicate and document relevant changes noted in intraoperative neuromonitoring for spinal surgery. |
| # 7 |
Outcome
Demonstrate effective and professional communication skills with the multidisciplinary theatre team. |