What is IONM?

Surgical procedures that involve the nervous system, directly, indirectly or inherently places neural structures at risk. The integrity of those structures at risk can be monitored using various techniques.

These techniques are known as intraoperative neurophysiologic monitoring, or IONM. If a change in nerve activity is noticed during the procedure, the technologist reports this change to the surgeon. Corrective action may then be initiated by either the surgeon or anesthesia staff. IONM is also used during the operation to help guide the surgeon in order to obtain more precise results.

The goal of IONM is to identify changes in brain, spinal cord, and/or peripheral nerve function in order to prevent complications that could result in irreversible nerve damage.

Why IS IONM important for patients?

When an individual is undergoing a delicate procedure that involves working near critical nervous structures, Assure will provide state of the art guidance and real time information to assist with a positive outcome.

These delicate procedures inherently place your nervous system at risk. When your surgeon partners with assure, a technician monitors these nervous structures during the procedure and works together with your surgeon to decrease the risk of permanent nerve damage.

Research has proven IONM to be effective in decreasing the chance of nerve damage and providing patients with better clinical outcomes.

What type of surgeries does Assure monitor?

Intraoperative Neurophysiological Monitoring (IONM) is used to monitor patient’s unique neural functions associated with the brain, spinal cord, and peripheral nerves.

Common surgical procedures include: neurological surgery, orthopedic surgery, otolaryngology surgery, cardiovascular surgery, and cardiothoracic surgery. However, IONM may be used for any surgery that potentially may place the nervous system at risk.

Assure has a highly skilled staff that is capable of covering cases ranging from spinal cord monitoring to complicated intracranial brain function mapping.

Who does the monitoring?

Assure recruits, hires and provides continuing education to the top technologists in the industry.

Assure requires each monitoring technician to obtain Certification in Neurophysiologic Intraoperative Monitoring, or CNIM, through the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

Assure technologists are in the operating room and monitor the procedures in real time.

In addition, a Diplomat of the American Board of Neurophysiologic Monitoring (D-ABNM) or certified physicians are actively monitoring the procedure from a remote location to provide  interpretation of the data if necessary.

Does Assure offer remote professional supervision?

Assure has engaged several offsite monitoring professionals to ensure every patient has maximum support during their operation. While technologists gather data in the operating room, Assure neurologists and/or D-ABNM staff interpret the data from a remote location through a private network and provide instant feedback to surgeons on the status of patients’ neural activity.

Using our off site professionals allows Assure to bring professional monitoring to virtually any hospital.

Find our list of procedures