IFMBE Proceedings, 2008, Volume 20, Part 7, 458-460, DOI: 10.1007/978-3-540-69367-3_123

Time Domain Signal Processing of Tibial Nerve Somatosensory Evoked Potentials During Anesthesia

Atte Joutsen, V. Jäntti and H. Eskola

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Abstract

Somatosensory evoked potentials are used along with motor evoked potentials for ensuring patient safety during scoliosis surgery. The operating room is a difficult recording environment with electromagnetic noise overlapping the few μV signal that is used to asses the status of the somatosensory tract of the patient during the operation. In this paper we study three methods to improve the signal-to-noise ratio of the recorded samples. The widely used arithmetic mean is compared with median and trimmed mean methods.
Arithmetic mean smoothed the curves and median and trimmed mean preserved higher frequencies. The calculated signal-to-noise ratios using the three methods yielded similar values with some higher figures during suppression EEG epochs using median and trimmed mean. As a conclusion all methods gave results of our data, but none was significantly better than the others.

Keywords  Somatosensory evoked potentials - Signal-to-noise ratio - Ensemble averaging - Anaesthesia

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