Neuro Medix is a care-oriented Intraoperative Neurophysiologic Monitoring (IONM) practice located in Southern California, specializing in both IONM and Autotransfusion services. We pride ourselves in delivering a high standard of care by capitalizing on cutting-edge technology and years of industry experience.

Our sole purpose is to ensure the safety of the patient during complex procedures that place neural and vascular structures at risk. This added level of protection can be instrumental in reducing potential surgical complications and therefore is an invaluable benefit to the patient, the surgeon, and the hospital.

  • Intraoperative Neurophysiologic Monitoring
  • Autotransfusion

Neuro Medix delivers a state-of-the-art, multi-modality approach to ensure patient safety through intraoperative neurophysiologic monitoring (IONM). A standard of excellence in patient care, our IONM services provide the surgeon with immediate feedback in the operating room regarding the status and functional integrity of the patient’s nervous system, facilitating timely intervention to prevent or mitigate damage to neural structures of both the sensory and motor pathways. IONM is well documented to reduce risks, lower costs, and improve outcomes.

Our highly trained Neurophysiology Technologists use cutting-edge IONM technology and a specific combination of monitoring modalities to quickly identify in real-time any changes taking place in the neural condition of the patient and to alert the surgeon to any early signs of evolving neural damage.

The underlying premise is that alterations in neurelectric activity precede actual anatomic injury, and monitoring these signals allows our Technologists to provide an early warning to the surgeon who can then adapt or modify the operative procedure to prevent irreversible neurologic impairment.

Before surgery begins, our Technologists perform a brief neurological exam to assess the condition of the patient and any areas of concern. Once the patient is asleep in the operating room and prior to the beginning of surgery the technologist will place a series of recording and stimulating electrodes at specifically-selected points along nerve pathways. During the procedure the Technologist will record real-time neural data as the surgery progresses and report any changes to the surgeon.

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Neuro Medix Autotransfusion services expand on our commitment to provide the highest level of patient care possible and further increase our ability to help ensure patient safety within the operating room. Autotransfusion, also known as cell salvage, is the process by which a patient’s own red blood cells, collected and washed from shed blood during the procedure, are returned to the patient during or after surgery. Blood that is aspirated from the surgical site through sterile suction tubing is collected in a dedicated filtered reservoir, and should the patient need a transfusion of red blood cells, our autotransfusion specialist will use a mobile cell salvage machine to process the autologous red blood cells that can then be delivered back to the patient. The advantages of using cell salvage technology versus using blood from a blood bank are significant.

By collecting and returning the patient’s own blood, the patient is able to avoid many of the complications that result from transfusions of donor blood. Autologous blood has a greater oxygen-delivering capacity than donor blood, carries a lower risk of blood-borne infections, and has been shown to reduce recovery time.

In addition to the abundant benefits to the patient, hospitals greatly benefit from the cost-saving advantages of autotransfusion. Use of autologous blood reduces the risks of clerical errors, avoids the costs of purchasing blood from a blood bank, and eliminates the need to make pre-donation arrangements. Furthermore, Neuro Medix takes on the cost and liability of purchasing and maintaining its own cell salvage equipment, thus allowing the hospital to realize even greater savings. Every Neuro Medix IONM Technologist is also dual-trained to perform Autotransfusion.  Should the need for cell salvage suddenly arise during surgery, our Technologists are ready to step in and perform this service at a moment’s notice. Every second counts in these unexpected situations, and by immediately providing Autotransfusion, our Technologists are able to effectively supply the surgeon and the patient with life-saving minutes.

Autotransfusion can be utilized in a variety of surgical procedures such as:
  • Orthopedic surgery
  • Vascular surgery
  • Trauma
  • Cardiothoracic surgery
  • General surgery
  • Neurosurgical procedures
  • Gynecological surgery
  • Urological surgery
  • Organ transplant procedures

Neuro Medix delivers this indispensably valuable service 7 days a week, 24 hours a day.
  • Benefits to Patient
  • Benefits to Surgeon
  • Benefits to Hospital

Patient safety is our highest priority. Intraoperative neurophysiologic monitoring is shown to prevent damage to the nervous system and to improve surgical outcomes.

When providing IONM services, our Technologists keep a trained eye on the functional integrity of the neural structures being monitored and deliver crucial, immediate feedback to surgeons, anesthesiologists and other members of the surgical team that will guide critical phases of the procedure and can help avert any potential neurological impairment to the patient.

Neuromonitoring helps to improve surgical outcomes by quickly detecting sudden changes in the neurological status of the patient, thus preventing injury to vital structures at a time when clinical examination is not possible. This safeguard is not only a comfort to the patient but also serves to increase the confidence of the surgeon throughout the procedure.

Our Board-Certified Neurologists provide additional oversight remotely throughout the procedure, thus increasing the level of protection extended to the patient.

“Neuro Medix’ reliable and accurate information has made a critical difference on several neurosurgical and spine cases where the team was instrumental in guiding surgical management to the patient’s benefit.”

F.M. Sweeney, M.D.

We know that achieving the greatest outcome with the least amount of possible risk is at the forefront of every surgeon’s mind.  Our express purpose in the operating room is to improve surgical outcomes through a proven reduction of risk.  Surgeons that work with Neuro Medix can rest assured that their patients will always receive a level of service that meets or exceeds the current standard of care.

Neuro Medix offers a full spectrum of IOM services, and by incorporating multi-modality surgical monitoring into a procedure, surgeons are now able to receive more comprehensive feedback than ever about impending neural damage, which aides in critical decision-making and improves patient outcomes. Our Technologists use the most advanced IOM equipment and software available, providing surgeons with the reassurance that their patients are receiving the best protection available.

Emergency and last-minute surgeries are never an issue. We pride ourselves in being able to offer a rapid response team that is strategically located within close proximity of every Medical and Outpatient Surgical Center in the Southern California area, 7 days a week, 24 hours a day.

“Neuro Medix exhibits superior quality in the services they provide. It is also not unusual for a patient to comment on the empathy and professionalism with which they were handled by the Neuro Medix team both before and after surgery.”

C. Lauryssen, M.D.

Neuro Medix offers a reliable and cost-effective means to increase patient satisfaction through decreased risk and improved surgical outcomes.  By providing comprehensive Neuromonitoring and Autotransfusion services, we take the burden of employee training, acquisition of supplies, equipment maintenance, and liability off of the Hospital, thus allowing the medical facility to pass those cost savings on to the patient.

Now more than ever it is important for Healthcare Providers to take advantage of as many tools as possible to ensure patient safety.  Neuro Medix provides a vast array of benefits that are in the patient and hospital’s best interest, both medically and financially.

  • Increased patient safety and satisfaction with favorable surgical outcomes
  • Decreased operational costs
  • Decreased potential risk and liability for Hospitals and Surgeons
  • Reduces the risks of medical malpractice suits
  • Shortens operating time
  • Lowers the costs of medical care and rehabilitation
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  • Modalities
  • Procedures

Depending on the procedure being performed, our Technologists will employ a combination of surgery-specific testing modalities that are optimally suited to monitor the neural structures at risk.  Here is a list of some of the tests most commonly requested by our surgeons.

modalities
Somatosensory evoked potentials (SSEP)
This test monitors the sensory pathways starting with a stimulus which is delivered to distal regions of the extremities and which then runs through the spinal cord to arrive in the somatosensory cortex of the brain.
Transcranial electric motor evoked potentials (TceMEP)
This test monitors the functional integrity of the spinal cord by delivered a small amount of current to the motor cortex of the brain transcranially through electrodes placed on the head and then recording compound muscle action potentials that reach additional electrodes placed on muscle groups of the arms and legs.
Spontaneous electromyography (spontaneous EMG)
This test monitors individual nerve root irritation near the spinal cord by registering compound muscle action potentials that reach a specific muscle innervated by that nerve root.
Triggered electromyography (triggered EMG)
This multi-purpose test is most often used to assess the placement of instrumentation such as pedicle screws and decompression devices or to locate a nerve by delivered small amounts of current through a carefully placed probe and registering any activity in specifically selected muscles.
Cranial Nerve Monitoring
These tests are used to protect cranial nerves (such as the Facial or Vagus Nerves) during procedures that place them at risk of trauma or ischemia.
Electroencephalography (EEG)
This test monitors the functional integrity of the cerebral cortex through the use of recording electrodes placed in a specific configuration on the scalp.
Brainstem Auditory Evoked Potentials (BAEP)
This test monitors the function of auditory pathways to help preserve hearing during acoustic neuroma and brainstem tumor procedures by recording the brainstem’s response to a delivered auditory stimulus.

Use of IONM is proven to significantly decrease the risk of postoperative deficits such as muscle weakness, nerve pain, paralysis, stroke, and hearing loss. IONM has been shown to be effective in a large variety of surgical procedures that place the nervous system at risk including but not limited to the following:

procedures
  • Spinal surgery
    Such as artificial disc replacement, spinal fusion (cervical, thoracic and lumbar), scoliosis correction (pediatric and adult), decompression, laminectomy/laminotomy, foraminotomy, minimally invasive foraminotomy, discectomy, corpectomy
  • Neurosurgery
    Such as acoustic neuroma, craniotomy, intracranial aneurysm, cranial base tumor, brainstem tumor, spinal cord tumor, tethered spinal cord release, cerebellopontine angle surgery, microvascular decompression, facial hemispasm
  • Otolaryngologic surgery
    Such as thyroidectomy, parathyroidectomy, parotid tumor resection
  • Vascular surgery
    Such as aortic aneurysm, cerebral aneurysm, aortic cross-clamping, and carotid endarterectomy
  • Peripheral nerve surgery
    Such as brachial plexus and distal peripheral nerve exploration
  • Mission
  • Team

Our mission is to utilize decades of experience in the field and cutting edge Intraoperative Monitoring and Autotransfusion Technology to provide the greatest level of patient care available.  We treat each patient with respect and compassion while reducing patient risk and physician liability by delivering superior IONM service that can be incorporated into any complex and high-risk surgical procedure with efficiency and ease.

Our patient-focused approach to monitoring not only improves surgical outcomes but also contributes to an ultimately more cost-effective treatment, thereby ensuring a better overall experience for our patients, hospitals, and surgeons.  Our team of highly-trained Technologists and Neurologists are committed to preserving the integrity of neural structures by staying up to date on the latest industry advancements and most effective monitoring techniques.

“Providing a level of care that is extremely high in comparison to the community, Neuro Medix is a significant adjunct to the spine program.  Without their expertise, the surgeries could not be performed in a safe manner.”

G. Carlson, M.D.

IONM has become an integral and cost effective component of surgeries in which the central and peripheral nervous systems are at risk, and experience has taught us that the value of monitoring is directly related to the level of trust that the surgeon has in the monitoring Technologist.

Our highly trained, American Board Certified Technologists can quickly and efficiently respond to surgical needs and perform a full spectrum of IONM services.  While focusing on patient safety our technologists are able to work closely and effectively with everyone in the operating room, becoming valued members of the surgical team.

Neuro Medix also provides professional oversight by a State-Licensed, Board-Certified Neurologist who is Fellowship-Trained in Clinical Neurophysiology.  The Technologist and Neurologist are in constant communication throughout the surgery to insure patient safety and provide real-time feedback to the surgical team during critical phases of a procedure.

Keeping with our mission to ensure patient safety, each of our IONM Technologists is additionally trained in Autotransfusion and frequently functions in this critical capacity.  Our dual-trained Technologists offer a clear advantage to any surgical team should the need for cell salvage services unexpectedly arise during the course of a procedure.  Our Technologists are equipped with the experience and training needed to step in at a moment’s notice to collect, process, and immediately return autologous red blood cells to the patient, thus saving invaluable time.

Neuromedix

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Neuro Medix, Inc.

9092 Talbert Avenue, Suite 2
Fountain Valley, CA 92708
Phone: (714) 965-0202 | Fax: (714) 475-1530

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