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Intraoperative Neuromonitoring Course

Principles and Practice of Intraoperative Neuromonitoring is designed for advanced professionals who perform or support intraoperative neuromonitoring (IONM) procedures. It will highlight practice specifications, multimodality protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Presentations will make reference to current literature, technical developments, methodologies and clinical efficacy.

The faculty includes University of Pittsburgh Medical Center physicians and neurophysiologists with extensive clinical and academic expertise in IONM. The course is designed to expose the participants to material that will allow them to acquire a comprehensive understanding of IONM and how it relates to a wide variety of relevant topics such as:

  • Advanced principles for neurophysiological monitoring, including instrumentation, neuromonitoring protocols, alarm criteria and clinical efficacy,
  • Minimally invasive spine surgery including transpsoas approaches,
  • Pre-, peri- and post-operative evaluation of neurological complications including stroke, cognitive deficits, seizure and spinal cord injury,
  • Multimodality monitoring techniques for a broad array of procedures including spine and vascular,
  • Innovations in telemedicine,
  • Microelectrode recording during Deep Brain Stimulation (DBS),
  • Cranial nerve monitoring during skull base procedures,
  • Neuroanesthesia,
  • Interpretation and communication with surgical team,
  • Development of a Policy & Procedure manual; documentation and communication with the technologist; development of quality assurance metrics; and staff training,
  • Problem based learning with real-time data analysis and formulation of differential diagnoses.

Download the Course Brochure.

Course Date

November 3-5, 2017.

Target Audience

Principles and Practice of Intraoperative Neuromonitoring is designed for advanced professionals who perform or support intraoperative neuromonitoring (IONM) procedures. This includes but is not limited to neurologists, surgical neurophysiologists, PM&R physicians, neurological surgeons, anesthesiologists, orthopedic surgeons, board certified neurophysiologists, vascular surgeons, senior neurophysiology technologists, and ENT Surgeons.

Course Directors

Jeffrey R. Balzer, PhD, FASNM, DABNM
Associate Professor of Neurological Surgery, Neuroscience and Acute and Tertiary Care Nursing, University of Pittsburgh
Director, Clinical Operations, UPMC Center for Clinical Neurophysiology
Director, UPMC Cerebral Blood Flow Laboratory

Parthasarathy Thirumala, MD, FACNS, FAAN
Associate Professor of Neurological Surgery and Neurology, University of Pittsburgh
Medical Director, UPMC Center for Clinical Neurophysiology

Course Coordinator

R. Joshua Sunderlin, MS, CNIM
Education Specialist, Procirca Center for Clinical Neurophysiology

Faculty

Katherine Anetakis, MD
University of Pittsburgh Department of Neurological Surgery

Maria Baldwin, MD
University of Pittsburgh Department of Neurology

Jeffrey Balzer, PhD
University of Pittsburgh Department of Neurological Surgery

Mindy Corridoni, BS, CNIM
Procirca Center for Clinical Neurophysiology

Donald Crammond, PhD
University of Pittsburgh Department of Neurological Surgery

Brian Gierl, MD
University of Pittsburgh Department of Anesthesiology

Aatif M. Husain MD
Duke University Department of Neurology

Ashu Jadhav, MD, PhD
University of Pittsburgh Department of Neurology

Andrew Moyer, BS, CNIM
Procirca Center for Clinical Neurophysiology

Ryan Quallich, BS, CNIM
Procirca Center for Clinical Neurophysiology

R. Mark Richardson, MD, PhD
University of Pittsburgh Department of Neurological Surgery

Raymond Sekula, MD
University of Pittsburgh Department of Neurological Surgery

R. Joshua Sunderlin, MS, CNIM
Procirca Center for Clinical Neurophysiology

Parthasarathy Thirumala, MD
University of Pittsburgh Department of Neurological Surgery

Program

Day 1

7:00 a.m. Continental Breakfast
7:20 a.m. Welcome Address (Balzer)

Principles of Intraoperative Monitoring
7:30 a.m Perioperative Neurology and Physiological Basis of Monitoring (Thirumala)
8:00 a.m. Neuroanesthesia (Gierl)
8:45 a.m. Communication and Documentation: Medical and Legal Implications (Balzer)
9:30 a.m. Break

IONM Modalities for Surgical Procedures
10:00 a.m. Principles and Practice of EEG Monitoring During Surgery (Anetakis)
10:30 a.m. Principles and Practice of SSEPs Monitoring During Surgery (Crammond)
11:00 a.m. Principles and Practice of TcMEP Monitoring During Surgery (Balzer)
11:30 a.m. Principles and Practice of BAEP Monitoring During Surgery (Thirumala)
12:00 p.m. Lunch

Monitoring During Cardiac and Vascular Surgery
1:30 p.m. Spinal Cord Stimulator Placement (Balzer)
2:00 p.m. Microelectrode Recording for Deep Brain Stimulation (Crammond) 
2:30 p.m. Epilepsy Surgery and Cortical Mapping (Baldwin)
3:00 p.m. Deep Brain Stimulation: Past and Future (Richardson)
3:30 p.m. Break
4:00 p.m. Differential Diagnosis and Interpretation of Data: Case Based Learning (Balzer, Crammond, Thirumala)
4:45 p.m. Conference Adjournment
5:30 p.m. Meet and Greet, Faculty & Vendors, Hilton Garden Inn, Forbes Ball Room, (Light hors d’oeuvres and open bar)

Day 2:

7:00 a.m. Full Breakfast
7:20 a.m. Day 3 Announcements (Balzer)

IONM for Skull Base Procedures
7:30 a.m. Microvascular Decompression: Past, Present and Future (Sekula)
8:15 a.m. EEA Procedures (Balzer) 
9:00 a.m. Keynote Speech (Husain)
9:45 a.m. Break with Vendors

IONM for Vascular and Cardiac Surgery 
10:15 a.m. Carotid Endarterectomy (Thirumala)
10:45 a.m. Cerebral Aneurysm Clipping (Crammond)
11:15 a.m. Neurointerventional Procedures (Balzer)
11:45 a.m. Aortic and Cardiac Procedures (Thirumala)
12:45 p.m. Lunch; Instructions for Group Workshops

Workshop: Instruction and Hands-On Learning
1:00 p.m. Station 1: Placing EMG electrodes for Cranial Nerve EMG (Cadaver Lab) (Qualich, Balzer)
1:00 p.m. Station 2: Placing Upper and Lower Extremity EMG Electrodes (S921) (Corridoni, Crammond)
1:00 p.m. Station 3: Building IONM Tests with Equipment (1105c) (Moyer, Anetakis)
1:00 p.m. Station 4: Transcranial Doppler (1105b) (Sunderlin, Thirumala)
1:00 p.m. Station 5: Q/A Session with Course Faculty
5:10 p.m. Adjournment

Day 3:

7:00 a.m. Breakfast
7:20 a.m. Day 3 Announcements (Balzer)

Quality and Safety in IONM 
7:30 a.m. Troubleshooting (Sunderlin, Balzer)
8:00 a.m. Policy and Procedure Manual Development (Balzer)
8:30 a.m. Equipment and Technology (Qualich, Balzer)
9:00 a.m. Training and Quality Assurance (Corridoni, Thirumala)
9:30 a.m. Break

Monitoring and Evaluation
10:00 a.m. DCS for Tumor Resection
10:30 a.m. Preoperative Evaluation of Stroke (Jadhav)
11:00 a.m. Telemedicine (Thirumala)
11:30 a.m. Controversies in IONM: How Should We Measure Outcomes (Balzer)
12:00 p.m. Lunch

Monitoring During Spinal Surgery
1:00 p.m. Spinal Tumor Removal and D Wave Monitoring (Thirumala)
1:30 p.m. Minimally Invasive Spine Surgery (Balzer)
2:00 p.m. Scoliosis Correction (Anetakis)
2:30 p.m. Differential Diagnosis and Interpretation of Data (Balzer)
3:00 p.m. Conference Adjournment

Tuition

$650 for physicians and other attendees seeking CME credits; $500 for all other healthcare professionals seeking CEU credits.

Registration and Online Payment

On-line registration can be completed by visiting the Procirca website at procirca.com/intraoperative-neuromonitoring/Pages/neuromonitoring-workshop.aspx.

CME Accreditation and Designation

The University of Pittsburgh School of Medicine designates this live activity for a maximum of 20.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals are awarded 2.0 continuing education units (CEU’s) which are equal to 20.7 contact hours.

ASET, the Neurodiagnostic Society, has granted 20.5 Continuing Education Units [ASET-CEUs] for this program. Such crediting, however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or involved in these presentations.

Faculty Disclosure

All individuals in a position to control the content of this education activity are required to disclose all relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.

Special Needs

Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling 412-647-1453.

Cancellation Policy

  • Registration fee is 100% refundable up until September 5, 2017
  • A 50% refund of the registration fee will be offered between September 5 and October 5, 2017
  • After October 5, 2017 – NO REFUNDS GRANTED

Cancellation requests should be sent to:

Josh Sunderlin, Course Coordinator
Procirca Center for Clinical Neurophysiology
Phone: 412-647-1453
E-Mail: sunderlinj@procirca.com

Course Location

UPMC Presbyterian Hospital
200 Lothrop Street
Pittsburgh, PA 15213
Biomedical Science Tower
Room S120

Hotels

Hilton Garden Inn Pittsburgh University Place
3454 Forbes Avenue 
Pittsburgh, PA 15213 
Phone: 412-683-2040 
Distance from campus is 0.3 miles; travel time on foot is five minutes.

A block of rooms is being held at the Hilton Garden Inn at a rate of $139.00/night.

Wyndham Pittsburgh University Center
100 Lytton Avenue
Pittsburgh, PA 15213
Phone: 412-682-6200
Distance from campus is 0.7 miles; travel time on foot is 10 minutes.

Wyndham nightly parking charge: $10.00

The University of Pittsburgh is an affirmative action, equal opportunity institution.