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Jan 2018 ASNM Recorded Webinar: Major spine: Minimizing confounding variables

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Continuing Education Credits


Approved for

   1.0 hour of ASNM CEUs*

   1.0 hour of AMA PRA Category 1 CreditsTM (CME)


To receive credit, you must take the evaluation at the end of the webinar. The evaluation will pop-up after the webinar has finished. Once you take the webinar the system will send you your attendance certificate. American Society of Neurophysiological Monitoring (ASNM). Please be advised it can take up to (6) six months to process CME credit.


If you need to close out of the webinar, please use the “X” in the webinar window – see picture below. *For more information on ASNM CEUs, please visit These CEUs are recognized and accepted by ABRET, however, ASET does not track these credits in their transcript system. It is your personal responsibility to do so.



If you have any questions or issue, please contact ASNM directly at or call (630) 832-1300.


CME Only Additional Information:

Major spine: Minimizing confounding variables and IONM conflicts

Release date:
Jan. 24, 2018

Expiration date: Jan 24, 2019

Estimated time to complete activity: 1 hour


Target Audience

IONM is a helpful tool employed during spine surgery to reduce the risk of injury to delicate spinal cord and nerve pathways. IONM can, furthermore, be used to evaluate the integrity of bony structures into which metal implants have been placed (i.e. pedicle screw testing) and, also, to identify and localize neural structures. We may not always appreciate (we take for granted) how many variables we are evaluating, and how much information we are integrating in order to provide the highest quality and value of IONM data. This presentation is intended to give an overview of IONM for major spine procedures and, through general discussion and case studies, to expand on this basic understanding. It will explore how specific technical-, physiologic-, anesthetic-, surgical- and communication- variables (-based issues) impact IONM. 


Learning Objectives

 This webinar aims to help the participant understand:

·      the most common neurophysiologic tests employed for monitoring during spinal surgery

·      how to be prepared and to avoid common technical issues associated with your neurophysiologic  tests

·      the impact of physiologic states and anesthetic agents on the results of your neurophysiologic tests

·      what common steps during spine surgery lead to changes in the results of your neurophysiologic  tests what to consider when communicating about the results of your neurophysiologic tests


Christopher Pace, PhD, CNIM

Director, Center for Electroneurodiagnostics

Chief Clinical Officer

Neuro Alert



Continuing Medical Education Credit (CME)

The American Society of Neurophysiological Monitoring (ASNM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. ASNM designates this activity for AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


ASNM Continuing Education Credit

ASNM is an ABRET approved provider of continuing education for their IONM related credentials. ABRET is the credentialing board for Electroencephalographic (EEG) Technologists, Evoked Potential (EP) Technologists, and Neurophysiologic Intraoperative Monitoring (CNIM) Technologists, Long Term Monitoring (CLTM) Technologists, and Autonomic Testing Professionals (CAP). Such crediting, however, should not be construed by program participants as endorsement of any type of instruments or supplies mentioned or involved in these presentations. Please be advised that for continuing education hours to apply towards the EEG test, they must be ASET CEUs; however, ASNM CEUs are eligible for the recertification of the EEG credential as well as towards CNIM and EP credentials and recertification.


Commercial Support None

Faculty and Planners Disclosure Statement

As a provider dedicated to independent education and accredited by the ACCME, ASNM must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. It is the policy of ASNM to require disclosure of the existence of any significant financial interest or other relationship a faculty member, planner, or a sponsor has with either the commercial supporter of this activity or the manufacturer(s) of any commercial product(s) discussed in an educational presentation:


Faculty Disclosures

Christopher Pace, PhD, CNIM, disclosed no financial relationships.

Planner Disclosures
Kent Rice, MS, REPT, CNIM, DABNM, FASNM, disclosed employment and investment of less than 5% with Nuvasive.
Patty Warf, disclosed no financial relationships.
Carol Ingmanson, ASNM, disclosed no financial relationships.
Liz Tinley, ASNM, disclosed no financial relationships.

Moderator Disclosures
Kent Rice, MS, REPT, CNIM, DABNM, FASNM, disclosed employment and investment of less than 5% with Nuvasive. 
Patty Warf, RN, MS, SNIM, FASNM, disclosed no financial relationships.

Independent Reviewer
Richard Toleikis, PhD, Independent Reviewer, has disclosed no financial relationships.

Disclosure of Unlabeled or Investigational Drugs None

Method of Participation to Earn CME/CE Credit There are no fees or pre-requisites for participating in and receiving credit for this online live educational activity. Participants must:

1. Read the educational objectives and disclosure statements
2. Participate in the entire educational session
3. Complete the evaluation
4. Submit the evaluation to ASNM

Credit will be issued upon receipt of a completed activity evaluation. You will be emailed your activity certificate. This activity should take (1) hour to complete.

Disclaimer The opinions expressed in the enduring educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

Privacy Policy

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Please e-mail if you do not want to receive any communications from us.

© Copyright 2017 by ASNM. This also contains material copyrighted by third parties.

Contact Information
ASNM 275 N. York Street, Elmhurst, IL 60126
Phone: (630) 832.1300 Fax: (630) 563.9181