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162 2. All decisions and discussions must be clearly documented in the patients notes. The slope of the line, K, at primary position, is approximately 0. To date no other differences have been noted between BP-1 and BP-1 thymic CD8DC. The patient's perspective. The apex of the ©2003 CRC Press LLC Index 477 Brainstem mapping (BSM) anesthesia in, 322 case study of, 328, 329f330f, 331, 331f, 332f, 333f, 334f clinical application of, 331332 clinical limitations of, 327 described, 320, 321f emergence of, 320 results of, 323324 surgical implications of, 325326, 325f technique of, 322 Bulbocavernosus reflex (BCR), 203 monitoring of, 128129, 211212, 215 Burster cell, 428f, 436f C Campotomy, 407 Carotid artery, 341 Cathodal stimulation, 7, 10, 369 Cavernomas, 393 Cavernous malformations, 142 diagnosis of, 56 surgical treatment of, 67 Cavitron ultrasonic aspirator, 6061 Central sulcus, localization of, 354, 355f, 356, 357f Central tumors difficulties posed by, 392393 MEP monitoring in surgery for, 380382 SEP monitoring in surgery for, 352353 value of intraoperative monitoring in surgery for, 394 Cerebral palsy baclofen to treat, 103 classification of, 103 intraoperative sacral monitoring in, 212216 MDT to treat, 104 outcome assessment for, 226228 rhizotomy to treat, 95, 96f, 103 SDR rhizotomy to treat, 9495, 96f, 219228 Cerebrospinal fluid, postsurgical leakage of, 6970 Cervicomedullary junction, 121, 279, 282f Cervicomedullary tumors, cranial nerve motor nucleus displacement by, 323, 324f, 326, 326f CMAPs (compound muscle action potentials), 28, 220 intraoperative use of, 221223 monitoring in pedicle screw placement, 240241 CNAPs (compound top 10 forex robot traders action potentials), 170, 183f anesthetics and, 182 characteristics of, 184 electrodes for recording and stimulating, 178181 evaluation of, 183185 to grade nerve injury, 185187 intraoperative recording of, 182183, 187190 in spinal nerve injuries, 185 Cochlear nucleus, 301, 306f, 308 Common mode rejection ratio (CMRR), 421 Conducted impulses characteristics of, 56, 5f generation of, 812, 155 Constant current, 76, 243244, 245f, 373f Constant voltage, 244, 245f, 294, 423t Contact laser, 60, 6366 Cooper, 407 Corpus striatum, and Parkinsons disease, 411 Cortical mapping using MEP mapping, 366 using Penfields technique, 364 Corticobulbar tract, 327, 328f Corticospinal tract (CT) waves, 45 D waves, 56, 5f I waves, 5f, 6 monitoring, 78 stimulus intensities and, 10f Cranial motor nerve monitoring benefits of, 315 of CN III, IV, VI, 298299 of CN IXXII, 299300 of facial nerve, 293298 risks of, 300 of trigeminal nerve, 298 Cranial motor nerves, displacement by tumor, 323, 324f Cranial nerve III, motor portion of, monitoring of, 298299 Cranial nerve IV, monitoring of, 298299 Cranial nerve VI, monitoring of, 298299 Current shunting, 252, 253f, 294 CUSA, 59, 6566, 89 Cystoprostatectomy, adverse effects of, 203204 20 Unit 1 BASIC CONCEPTS IN NURSING PRACTICE The changes that have occurred in the health care system in the past two decades have increased the need for care in ambula- tory settings and in the home.
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