I saw a special on TV about robotic surgeries and even monitoring spinal cord function remotely by computer. Is it really safe to have someone checking my vital signs and leg function from a computer somewhere else? What if the computer goes haywire or the Internet is down?

Automated or remote monitoring of patient responses during surgery is being used more and more now. With improved technology, more complex spinal surgeries are possible. Severe spinal deformities from scoliosis (curvature of the spine) can be corrected. Tumors wrapped around the spinal cord can now be removed without damage that would result in paralysis.

But your concerns are justified. Others have asked the same questions. Another area of concern has been the reading and interpretation of test results via internet connections. The technician isn’t in the operating room with the surgeon providing real-time (instant) feedback. He or she can’t see the patient and is often monitoring more than one person at a time. Is that safe? What if the internet connection fails or there is some computer glitch?

There are also automated monitoring systems that are not managed by a live person. Although these have been approved by the FDA, some experts question whether it is safe to apply electrical stimulation to the brain and trust a machine’s interpretation of it?

Can we afford to take chances with someone’s life or put them at risk of permanent paralysis and disability? These are the kinds of questions that must be considered when establishing a standard of care for everyone who is undergoing complex spinal surgery with neuromonitoring. And that’s why the American Society of Neurophysiological Monitoring recommends all monitoring be done by a trained and certified technical professional.