ReviewJournal of anesthesia2020
A practical guide for anesthetic management during intraoperative motor evoked potential monitoring.
Review in Journal of anesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 63 citations in OpenAlex.
- Effect of low-dose volatile anesthetics on intraoperative neurophysiological monitoring during anesthesia with remimazolam.Korean journal of anesthesiology · 2025Trial
- Effect of intraoperative muscle relaxation reversal on the success rate of motor evoked potential recording in patients undergoing spinal surgery: a randomized controlled trial.BMC anesthesiology · 2023Trial
- Effects of desflurane and sevoflurane on somatosensory-evoked and motor-evoked potential monitoring during neurosurgery: a randomized controlled trial.BMC anesthesiology · 2021Trial
- Effects of hemorrhage, fluid resuscitation, and transient deep anesthesia on transcranial and transesophageal motor evoked potentials in a swine model.Journal of anesthesia · 2026Article
- Detection of motor pathway suppression by transcranial and transesophageal motor-evoked potentials during thoracic epidural anesthesia.Journal of anesthesia · 2026Article
- Effect of low-concentration sevoflurane with propofol anesthesia on transcranial motor-evoked potential: a crossover interventional trial.Journal of anesthesia · 2026Article
- Mivacurium Infusion ED50/ED95 for Maintaining Motor Evoked Potentials During Adolescent Scoliosis Surgery Under TIVA: A Modified Dixon Up-and-Down Sequential Dose-Finding Study.Drug design, development and therapy · 2026Article
- Intraoperative neuromonitoring with direct cortical stimulation motor-evoked potentials in supratentorial glioma surgeries with preoperative moderate-to-severe motor weakness.Journal of neuro-oncology · 2025Article
- Transesophageal motor-evoked potentials, a novel method induced by transesophageal spinal cord stimulation, are less sensitive to anesthetics than transcranial motor-evoked potentials.Journal of anesthesia · 2025Article
- Impact of low-dose sevoflurane with propofol-based anesthesia on motor-evoked potentials in infants: a single-arm crossover pilot study.Journal of anesthesia · 2025Article
- The Influence of Anesthesia on Neuromonitoring During Scoliosis Surgery: A Systematic Review.NeuroSci · 2024Review
- Article
- Are there beneficial effects to hybrid anesthesia*?Journal of anesthesia · 2024Review
- Utility of desflurane as an anesthetic in motor-evoked potentials in spine surgery and the facilitating effect in tetanic stimulation of bilateral median nerves.Journal of clinical monitoring and computing · 2024Article
- Incidence and Risk Factors for Hyponatremia in Postoperative Spinal Surgery Patients.Spine surgery and related research · 2024Article
- Intraoperative Neurophysiological Monitoring for Intradural Extramedullary Spinal Tumours.Global spine journal · 2024Article
- Unilateral abnormality of initial motor-evoked potential in the upper limb detected during lumbar spine surgery: a case report.JA clinical reports · 2024Article
- Updated review on the use of neuromuscular blockade during intraoperative motor-evoked potential monitoring in the modern anesthesia era.Journal of anesthesia · 2024Review
- Effect of dexmedetomidine on somatosensory- and motor-evoked potentials in patients receiving craniotomy under propofol-sevoflurane combined anesthesia.Frontiers in surgery · 2024Article
- The influence of depth of sedation on motor evoked potentials monitoring in youth from 4 to 23 years old: preliminary data from a prospective observational study.Frontiers in medicine · 2024Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Postoperative motor dysfunction can develop after spinal surgery, neurosurgery and aortic surgery, in which there is a risk of injury of motor pathway. In order to prevent such devastating complication, intraoperative monitoring of motor evoked potentials (MEP) has been conducted. However, to prevent postoperative motor dysfunction, proper understanding of MEP monitoring and proper anesthetic managements are required. Especially, a variety of anesthetics and neuromuscular blocking agent are known to attenuate MEP responses. In addition to the selection of anesthetic regime to record the baseline and control MEP, the measures to keep the level of hypnosis and muscular relaxation at constant are crucial to detect the changes of MEP responses after the surgical manipulation. Once the changes of MEP are observed based on the institutional alarm criteria, multidisciplinary team members should share the results of MEP monitoring and respond to check the status of monitoring and recover the possible motor nerve injury. Prevention of MEP-related adverse effects is also important to be considered. The Working Group of Japanese Society of Anesthesiologists (JSA) developed this practical guide aimed to help ensure safe and successful surgery through appropriate anesthetic management during intraoperative MEP monitoring.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.