Evidence map›Paper›PMID 33824636›Full record

ArticleSaudi journal of anaesthesia

Exploring the utility of neuro-monitoring in neurosurgery: The users' perspective in a single center.

Chulananda Goonasekera, Holly Jones, Rebekah Lawrence, John Hanrahan, Priyanka Iyer, Aditi Nijhawan

Abstract read
In one paragraph

Article in Saudi journal of anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chulananda GoonasekeraDepartment of Anesthetics, King's College Hospital NHS Trust, Denmark Hill, London SE59RS, UK.
Holly JonesKing's College London Faculty of Life Sciences and Medicine, School of Medicine, London, UK.
Rebekah LawrenceDepartment of Anesthetics, King's College Hospital NHS Trust, Denmark Hill, London SE59RS, UK.
John HanrahanDepartment of Anesthetics, King's College Hospital NHS Trust, Denmark Hill, London SE59RS, UK.
Priyanka IyerDepartment of Anesthetics, King's College Hospital NHS Trust, Denmark Hill, London SE59RS, UK.
Aditi NijhawanDepartment of Anesthetics, King's College Hospital NHS Trust, Denmark Hill, London SE59RS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of intraoperative neuro-monitoring (IONM) is to minimize injury to eloquent neural structures and optimize tumor resection.

methodWe explored the utility of IONM using a qualitative approach in a single center. Eight experienced users of its use in spinal and cranial surgery in adults and children were the informants. Using a constant comparative method, the findings were collated by thematic analysis.

resultsThe user perspective is that of caution to minimize adverse effects whilst empowering the need for formal training to enhance its efficacy. The process of IONM needs standardization as practices vary amongst users. Most users expressed limited trust on its current capabilities but hoped for its advancement to achieve higher sensitivity and specificity. None were however prepared to abandon its use.

conclusionIONM needs optimization. Its utility depends on user vigilance, multi-disciplinary validation, and individual expertise. This study draws out key issues from the user perspective that need to be addressed in order to enhance the utility of IONM.

Indexed as

Intraoperativeneuro-modulationneuro-monitoringneurosurgeryrisk-benefitutility

Identifiers

PMID33824636
PMCPMC8016046

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.