Table 1. Intraoperative responsibilities of intraoperative neurophysiological monitoring supervising professional (Adapted from Gertsch et al. J Clin Monit Comput. 2019;33(2):175-83[11])

1. Supervises all technical aspects of IONM to ensure overall patient safety and quality of care.

2. Communicates and collaborates with other members of the patient care team as detailed in Sect.

3. Interprets IONM data:

(a) Evaluates the quality and consistency of baseline data and identifies abnormalities in the context of known variables.

(b) Evaluates IONM data in the context of the procedure and takes into account patient vitals, imaging and labs when available and appropriate.

(c) Evaluates and interprets data obtained from topographical/neuro-navigation studies.

4. Develops a differential diagnosis:

(a) Determines the significance of changes from baseline data. To the extent possible, determines if changes are related to iatrogenic injury, anesthetic effects, physiological variables, patient positioning, technical factors, or a combination of these.

(b) Recommends assessment technique (s) most appropriate to answer anatomic, functional, or prognostic questions related to specific neural structures.

5. Provides input to the patient care team to help develop and execute a plan of therapeutic intervention to recover neural function when an adverse alteration in IONM data presents.

IONM: intraoperative neurophysiological monitoring.