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Recent advances in surgical technology have encouraged many surgeons to explore new ways of helping patients, potentially increasing the risk to the patient's neurological system. A complication of surgery, especially neurosurgery, is the development of a post-operative neurological deficit. The original purpose for the use of various neurophysiological monitoring procedures was to reduce the incidence of neurological deficit, regardless of its origin. VIASYS Healthcare (Nicolet Biomedical) has created Nicolet Viking IV that fulfils all criteria of a good intra-operative monitoring instrument. Viking IV can perform routine and computer-aided Electromyography, Evoked Potentials Studies, Nerve Conduction Studies and Intra-Operative Monitoring. Nicolet Viking IV is also very useful in other branches of medicine like: neurology, internal medicine, obstetrics and gynaecology, neonatology and many more. Today we use intra-operating monitoring for several additional purposes, including improving overall surgical outcomes, monitoring the efficacy of intervention strategies and monitoring neurological structures that are at risk due to secondary/perisurgical variables. Intra-operative neurophysiologic monitoring (IONM) allows the detection of neurological compromise early enough that permanent deficits may be avoided.
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