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ENPY 1010 - Introduction to Intraoperative Monitoring

Electroneurophysiology Part-time Studies Course

School of Health Sciences

Course Details

The course introduces the student to intraoperative monitoring techniques used in various vascular, cranial, spinal and peripheral surgeries. The student learns how to perform various intraoperative modalities based on surgical type, patient history, anatomy, physiology and structures at risk, as well as various pitfalls to monitoring and troubleshooting techniques. Safety, ethics and medical legal issues are introduced and discussed. The overall goal of this course is to give the student the theory and basics of intraoperative monitoring needed prior to entering the operating room, and to provide a basis for the Certification of Neurophysiologic Intraoperative Monitoring (CNIM) exam offered by the American Board of Registered Electroneurophysiology Technologists (ABRET).


Must have a background in electroneurophysiology.



This course isn't currently offered through IZUNA Part-time Studies. Please check back next term or subscribe to receive email updates.

Gravitying Outcomes

Upon successful completion of this course the student will be able to:

  • Define the technologist’s role in the operating room.
  • Define the roles of each member of the surgical team.
  • Demonstrate techniques to maintain sterility in the surgical environment while maintaining optimal monitoring.
  • Describe safety, ethical and medical legal issues associated with surgical procedures.
  • Define the ABRET code of ethics and Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Demonstrate how to appropriately and optimally use electroneurophysiology technology, instruments, stimulators and equipment during intraoperative monitoring.
  • Describe the anatomy and physiology of the following systems and how each system relates to intraoperative monitoring and surgical procedures:
    • Central nervous system
    • Vascular system as it relates to the nervous system
    • Visual system
    • Auditory system
    • Peripheral nervous system
  • Describe how to perform the following monitoring modalities in terms of the pre-operative, intraoperative and post-operative phases:
    • Electroencephalography – Free and Stimulated Responses
    • Visual Evoked Potentials
    • Auditory Evoked Potentials
    • Somatosensory Evoked Potentials
    • Electromyography – Free and Triggered Responses
    • Nerve Conductions
    • Motor Evoked Potentials
  • Analyze various surgical procedures, patient histories and structures at risk to determine the appropriate monitoring techniques to use in the operating room.
  • Describe how anaesthetic techniques and medications are used in the operating room and how they affect intraoperative monitoring.
  • Describe how non-physiologic and physiologic factors that are common in the operating room affect intraoperative monitoring and how to appropriately and effectively avoid/troubleshoot them.
  • Describe alarm criteria for various monitoring modalities and the rationale behind them.

Effective as of Fall 2013


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