Info for Physicians



We’re proud to be an indispensable tool in helping physicians achieve better surgical outcomes.

Dr. Myles on Life Before Monitoring

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Why use Revolution Monitoring?

Intraoperative Neuromonitoring (IONM) is the use of clinical neurodiagnostic testing (EEG, EMG, NCV, evoked potentials) to monitor and protect the functional integrity of a patient’s central nervous system in real-time during surgery. The purpose of IONM is to increase patient safety by giving continuous guidance and feedback to physicians in order to prevent neurological injury.

IONM has become standard of care for neurosurgical procedures and, because of it’s success in improving surgical outcomes, IONM is now used for comprehensive patient safety in many other types of surgeries including but not limited to orthopedic, cardiovascular, peripheral nerve, and ENT.

Revolution Monitoring, through IONM, adds a safety net for physicians to avoid inadvertent harm during surgical procedures. IONM improves patient outcomes thereby lowering the risk of malpractice litigation, while simultaneously confronting and reducing the increasingly prohibitive cost of malpractice liability.

What to Expect

Our board-certified Surgical Neurophysiologists (C.N.I.M.) provide you with real-time surgical feedback and guidance regarding the structural integrity of your patient’s central nervous system. All neurodiagnostic testing is performed under the supervision of a board-certified neurologist, who interprets the data remotely and offers real-time analysis.

Revolution Monitoring utilizes the following clinical nerve conduction studies in a multi-modal approach to intraoperative monitoring (IONM) to ensure comprehensive patient safety in any given surgical procedure:

Click for List of Procedures and Modalities

History of IONM

“With regard to my own experiences as an orthopaedic spine surgeon, I have been able to rescue about 8 patients from catastrophic iatrogenic spinal cord injury during my last 15 years in practice. One of them was a 17-year-old girl with scoliotic deformity, for whom I carried out instrumentation from the posterior approach using sublaminar twisted titanium wiring. When the bone grafting procedure was started, a young orthopaedic surgeon who was responsible for the monitoring noticed a change in the wave pattern of the spinal cord evoked potential elicited by direct stimulation of the spinal cord. As described above, this potential travels through mainly the dorsal part of the spinal cord. We could not understand what was causing the decrement, but soon afterwards, one of my assistants happened to pull out a broken sublaminar wire that had straightened to its original shape and was compressing the spinal cord posteriorly. The potential returned to the original pattern thereafter, and the patient recovered without any neurological complication.”1

-James Watt in History of the Development of Intraoperative Spinal Cord Monitoring




  1. History of the Development of Intraoperative Spinal Cord Monitoring. Tetsuya Tamaki  Seiji Kubota Eur Spine J (2007) 16 (Suppl 2):S140–S146