What is the first step in the process of Intraoperative Neuromonitoring (IONM)?

The first step in the Intraoperative Neuromonitoring (IONM) process is to investigate the case. This stage involves gathering critical information about the surgical procedure, the patient's medical history, and the specific neuromonitoring needs based on the type of surgery being performed. Understanding the surgical approach and potential neural structures at risk allows the neurophysiologist to tailor the monitoring strategy appropriately, ensuring that relevant parameters are effectively monitored throughout the operation.

This foundational knowledge is essential as it informs decisions regarding equipment selection, electrode placement, and the types of modalities to utilize during the surgery, contributing to patient safety and optimal monitoring of neural function during potentially risky procedures. By prioritizing this investigative step, the IONM team can be better prepared for the intraoperative environment.