41. Clinical Practice Guidelines (CPG) to Intraoperative Neurophysiological Monitoring (IONM)

Abstract

CPGs are documents that include recommendations intended to optimize patient care based on the systematic and updated review of the international literature and risk–benefit evaluation of interventions in health. Method: Multidisciplinary and inter-institutional developing group of 21 physicians, with eight different specialties. The approach of this CPG is of prevention and diagnosis of a pediatric and adult population for secondary- and tertiary-care hospitals. We investigated fifteen structured medical interrogations on the usefulness of Intraoperative Neurophysiological Monitoring (IONM) during intracranial, spine, and mixed peripheral nerves surgeries. The search was performed in specialized academic and scientific online sites. The search criteria were period 10 years, language English, Spanish. Selected documents: Guide 1, systematic reviews 6, randomized trials 8, observational studies 44, other sources 1. Measurement scales: SIGN (Scottish Intercollegiate Guidelines Network) and CEPD (Classification of evidence for diagnostic precision). Results: We obtained 30 evidences, 29 recommendations, and 1 point of good practice. Conclusions: This guide is intended to make the IONM criteria equivalent, organize its practice, and facilitate interdisciplinary communication.