Somatosensory and transcranial motor evoked potential monitoring in a porcine model for experimental procedures

PLoS One. 2018 Oct 8;13(10):e0205410. doi: 10.1371/journal.pone.0205410. eCollection 2018.

Abstract

Evoked potential monitoring has evolved as an essential tool not only for elaborate neurological diagnostics, but also for general clinical practice. Moreover, it is increasingly used to guide surgical procedures and prognosticate neurological outcome in the critical care unit, e.g. after cardiac arrest. Experimental animal models aim to simulate a human-like scenario to deduct relevant clinical information for patient treatment and to test novel therapeutic opportunities. Porcine models are particularly ideal due to a comparable cardiovascular system and size. However, certain anatomic disparities have to be taken into consideration when evoked potential monitoring is used in animal models. We describe a non-invasive and reproducible set-up useful for different modalities in porcine models. We further illustrate hints to overcome multi-faceted problems commonly occurring while using this sophisticated technique. Our descriptions can be used to answer a plethora of experimental questions, and help to further facilitate experimental therapeutic innovation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Evoked Potentials, Motor*
  • Evoked Potentials, Somatosensory*
  • Female
  • Forelimb / physiology
  • Hindlimb / physiology
  • Humans
  • Male
  • Models, Animal
  • Monitoring, Intraoperative / methods
  • Neuromuscular Monitoring / methods*
  • Sensitivity and Specificity
  • Swine

Grants and funding

The study was supported by departmental funds (Department of Cardiovascular Surgery, University Heart Center Freiburg and the Department of Anesthesiology and Critical Care, Medical Center – University of Freiburg and Faculty of Medicine, University of Freiburg). The article processing charge was funded by the German Research Foundation (DFG) and the University of Freiburg in the funding programme Open Access Publishing.