intraoperative monitoring
Also written as: IOM — intraoperative monitoring
Real-time neurophysiological assessment during surgery to detect and prevent neural damage.
Full Definition
Intraoperative monitoring (IOM) is the real-time assessment of nervous system function during surgical procedures to detect early signs of neural compromise and guide surgical decision-making. Techniques include somatosensory evoked potentials (SSEPs), motor evoked potentials (MEPs), brainstem auditory evoked responses (BAERs), and electromyography (EMG). IOM helps surgeons preserve neurological function by providing immediate feedback about the functional integrity of neural pathways during procedures involving the brain, spinal cord, or peripheral nerves. Changes in monitored signals can prompt surgical modifications to prevent permanent neurological deficits.
Usage
Usage note: Hyphenate when used as adjective; IOM commonly used as abbreviation in medical records.
In Context
- "Intraoperative monitoring detected signal changes prompting immediate surgical modification." — Spine surgery report
- "IOM protocols included SSEP and MEP monitoring throughout the tumor resection." — Neurosurgical procedure note