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Two Day Extended Webinar
 IONM FUNDAMENTALS
An ASET Two-Day Extended Webinar ~ May 13 - 14, 2010
Thursday, May 13 10 a.m. - 11 a.m.
Introduction to the Physical and Psychological Environment of the Operating Room - This lecture will introduce the new IONM tech to the rules of conduct, and procedure in the OR as well as the power structure and the specific challenges of becoming part of the team, and speaking truth to power when necessary. Cathy Boldery, R. EEG/EP T., CNIM, RPSGT
11 a.m. - 12:30 p.m.
IONM Team and Communications – This presentation will address the Technologist’s role and responsibilities, the supervising physician’s role and responsibilities, documenting communications appropriately, and working well as a team. Also to be covered are what policies should be established about role, responsibilities and documentation. Marc Nuwer, M.D., Ph.D.
12:30 p.m. - 1:30 p.m.
Collateral Perfusion During Carotid Endarterectomy – This lecture will outline the patient preparation details, equipment setup, data recording goals and data analysis during carotid endarterectomy surgery. Rebecca Clark-Bash, R. EEG/EP T., CNIM, CLTM, F. ASNM
1:30 p.m. – 3 p.m. Electrical Safety In and Out of the OR: Patient Injury in Neurophysiological Testing - The instructor is known for his understanding of electrical concepts and electrode properties, and mechanisms for electrode injury in neurodiagnostics. This is a very important lecture for all those working with electrodes in the operating room. Brett Netherton, MS, CNIM
3 p.m. – 4 p.m.
IONM Instrumentation Basic Concepts – Things you must know before you get behind the wheel – This lecture will cover A/D conversion, differential amplification, sampling rate, averaging, sweep time/analysis time/time base, filters, stimulator parameters, duration, voltage (constant current versus constant voltage). Jay Shils, Ph.D.
4 p.m. - 5 p.m.
Basic Overview of Neuroanatomy, and the Pathways of Sensory and Motor Signals - Neuroanatomy cannot be covered adequately in a single lecture because it is far too complex, but this lecture will jump-start your understanding of the basics and the origins of the signals monitored in IONM. Dr Happel is a particularly gifted lecturer and has a wonderful way of injecting fun and interesting stories into neuroanatomy lectures. Leo Happel Ph.D.
10 a.m. - 11 a.m.
IONM Instrumentation Advanced Concepts – How to make the instrument sing – Many IONM professionals do not fully understand the functionality of their instrument. This lecture will begin with more advanced instrumentation and then progress to the bells and whistles type features rarely used by the average IONM staff. Topics include stimulating pedicle screws (technical challenges), using multiple screens and multi-modality monitoring, FFT, CSA, CDSA, spectral edge, stacking waveforms and trending data (frequencies and power). Also to be covered are stimulus parameters for transcranial stimulation, peripheral nerves, cranial nerves, exposed nerves and nerve roots. Jay Shils, Ph.D.
11 a.m. - 12: 30 p.m.
The Dance of Anesthesia and IONM – Dr. Sloan, an anesthesiologist and monitorist combined, is author of the very popular online course in IONM and Anesthesia. He has been involved in IONM since the early days and fully understands not only IONM concerns but also concerns of anesthesiology. When it all comes together it is poetry in motion but what are the challenges? How do we coordinate our moves so that we work in harmony and do not collide on the dance floor? Tod Sloan M.D., Ph.D.
12:30 p.m. - 1:30 p.m.
Monitoring Spine Surgery – This lecture will cover SSEP, TCeMEP, Instrumentation, Free Run and Stimulated EMG, Testing Pedicle Screws, and the origin of the signals being monitored; what are the advantages and disadvantages of each modality and what do we learn when we monitor each modality; case presentations with samples of changes; and resolving and not resolving. Clare Gale, R. EEG T., CNIM.
1:30 p.m. to 3 p.m.
Monitoring Cranial Nerves – This lecture will provide an overview of the latest monitoring techniques for cranial nerves, surgical cases appropriate for cranial nerve monitoring, placement of electrodes, case presentations, challenges, appropriate recording and stimulating parameters. Jaime Lopez, M.D. 3 p.m. - 4 p.m.
BAEP in Surgery – This lecture will cover technical considerations (electrode placements, keeping the inserts protected against fluid), uses (tumor, aneurysm, etc.), and challenges (drills and saws). Case presentations and samples of data when the criteria for alarm was met, and the outcome (resolved or not resolved) also will be addressed. Rebecca Clark Bash, R. EEG/EP T., CNIM, CLTM, F. ASNM. 4 p.m. - 5 p.m.
Troubleshooting and Artifacts in IONM: That which separates the truly awesome from the merely great – Troubleshooting skills are often the most important skill in IONM that separates the professionals from the rest. The skilled IONM professional is a skilled troubleshooter. Clare Gale, R. EEG T., CNIM.
Registration Fees: ASET Member (both days): $275 per site (not per person) Consider participating in this webinar as a group and pay just one registration fee! Registration includes participation for one site (one computer/connection) in the live webinar as well as access to review the presentation recording for both days for up to six months after the live event. To pay by check please click here to complete the mail-in registration form. Please note that all payments must be received no later than 48 business hours before the live event. If you have not yet received your registration confirmation e-mail 48 hours before the webinar, please contact Maggie Marsh-Nation (830.895.7460 or marshnation@stx.rr.com) for your access instructions. *Attendance cancellation must be received 48 hours before the sessions begin, and a $25 cancellation fee will apply. No refunds will be provided within 48 hours of the program. ACE Credits: Individuals must complete and return the signed attendence roster to the ASET Executive Office no later than 2 weeks following the live webinar to earn 12 ACE credits. If more than one individual from a site is participating in the live event, each individual will be awarded ACE credits. The ACE credit roster is included in the webinar materials provided upon registration. Individuals unable to participate in the live event may purchase access to the webinar recording after the event. However, in order to earn ACE credits they will need to take the webinar quiz included in the webinar recording package. Individuals have access to recordings for a period of 6-months from the date of purchase.
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