Resources for Clinical Neurophysiology

ANS

ANS documents on state registration in clinical neurophysiology

Clinical Physiology: Statutory Regulation Of Practice

http://www.biomedical.demon.co.uk/GINet/Meetings.htm

Registration Council for Clinical Physiologists
The Registration Council for Clinical Physiologists is compiling the Voluntary Register for individuals practising in the disciplines of Clinical Physiology.
Web: www.rccp.co.uk/

EBM

UK sources of Evidence Based Clinical Neurophysiology

I know of no UK sites offering online access to Evidence Based Medicine in Clinical Neurophysiology. The General EBM links below refer to several sites in the UK offering EBM to the generalist.

General EBM links

The Cochrane Collaboration

The Cochrane Collaboration is an international organization that aims to help people make well informed decisions about health care by preparing, maintaining and ensuring the accessibility of systematic reviews of the effects of health care interventions. Access to Cochrane on CD-ROM and online is by subscription. Many medical libraries and websites (eg Doctors.net.uk) provide access. Brief synopses of the reviews are available through the main Cochrane web page.

Individual articles

Standards

Publishers

There are as yet very few online or traditionally published standards, guidelines and protocols in Clinical Neurophysiology from UK sources. 

AANEM American Association of NeuroMuscular and Electrodiagnostic Medicine
Minimonographs - published in Muscle and Nerve.
: http://www.aanem.org/practiceissues/positionstatements/positionstatements.cfm,
Practice Parameters: www.aanem.net/aanem/practice_issues_statements/practice_parameters.cfm,
Technology Reviews: www.aanem.net/aanem/practice_issues_statements/technology_reviews/technology_reviews.cfm,
Practice Guidelines: http://www.aanem.org/practiceissues/practiceguidelines/practiceguideline...
AAN

American Academy of Neurology

Web: www.aan.com/

AES

American Epilepsy Society

Web http://www.aesnet.org/

BSCN

British Society for Clinical Neurophysiology
Web: www.bscn.org.uk/
Guidelines: http://www.bscn.org.uk/Documents/Guidelines2006.htm

CNS Child Neurology Society
Web www.childneurologysociety.org/
EPTA The Electrophysiological Technologist's Association
Web epta.50megs.com/
IFCN International Federation of Clinical Neurophysiology
Standards: www.elsevier.nl/homepage/sah/ifcn/doc/standard.htm
ISCEV International Society for the Clinical Electrophysiology of Vision
Standards: www.iscev.org/standards/index.html
NHS  
NGC National  Guideline  Clearinghouse (US)
The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents produced by the Agency for Healthcare Research and Quality (AHRQ) (formerly the Agency for Health Care Policy and Research [AHCPR]), in partnership with the American Medical Association (AMA) and the American Association of Health Plans (AAHP). The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.
Web: www.guidelines.gov
NIH National Institutes of Health
There are on and offline versions of the Consensus Statements.Web: www.nih.gov/
Consensus Development Program: consensus.nih.gov/
HPA Health Protection Agency (replaced the Public Health laboratory Service)
Resus Resuscitation Council (UK)

Standards

I have included some areas where I have specifically sought guidelines and not found them.

EEG

Publisher Peer
Review
 
IFCN Y Marc R. Nuwer (USA), Giancarlo Comi (Italy), Ronald Emerson (USA), Anders Fuglsand-Fredericksen (Denmark), Jean-Michel Guerit (Belgium), Herman Hinrichs( Germany), Akio Ikeda (Japan), Francisco Jose Luccas (Brazil), Peter Rapplesberger (Austria). IFCN Standards for digital recording of clinical EEG. EEG & CN 106 (1998) 259-261. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/106_259.pdf
NGC   No guidelines published for presurgical evaluation of epilepsy or for telemetry in general. (Search on NGC, 4 March 2001)
NIH   Surgery for Epilepsy. NIH Consens Statement Online 1990 Mar 19-21 [cited year month day];8(2):1-20. Web: http://odp.od.nih.gov/consensus/cons/077/077_intro.htm
AAN   Digital EEG, Quantitative EEG and EEG Brain Mapping. Web : www.aan.com/professionals/practice/pdfs/gl0006.pdf (July 1997)
AAN   EEG/Video Monitoring for Epilepsy. (August 1989) No longer on website
EPTA   Digital EEG Check/Calibration Guidelines Web: epta.50megs.com/resources/cg/digi_cal_eeg.pdf

EMG and motor control

Publisher Peer
Review
 
AAEM ? Guidelines for Establishing a Quality Assurance Program in an Electrodiagnostic Laboratory. Web: www.aanem.net/aanem/position_statements/QAProgramGL.cfm
AAEM ? Guidelines for Ethical Behavior Relating to Clinical Practice Issues in Electrodiagnostic Medicine. Web: www.aanem.net/aanem/position_statements/guidelines_for_ethical_behavior_.cfm
AAEM ? Electrodiagnostic Testing of Pregnant Women. Web: www.aanem.net/aanem/position_statements/EDXPregnancy.cfm
AAEM ? Practice Parameter for Electrodiagnostic Studies in Carpal Tunnel Syndrome: Summary Statement. Web: www.aanem.net/aanem/practice_issues_statements/practice_parameters/cts_practice_parameter.cfm
AAEM ? Practice Parameter for Needle Electromyographic Evaluation of Patients With Suspected Cervical Radiculopathy: Summary Statement. Web: www.aanem.net/aanem/practice_issues_statements/practice_parameters/cervical_practice_parameter.cfm
AAEM ? Practice Parameter For Electrodiagnostic Studies in Ulnar Neuropathy at the Elbow: Summary Statement. Web: www.aanem.net/aanem/practice_issues_statements/practice_parameters/ulnar_practice_parameter.cfm
AAN   Quantitative sensory testing Web: www.aan.com/professionals/practice/pdfs/quantitative_sensory.pdf
IFCN Y J. Kimura (Japan), J. Daube (USA), D. Burke (Australia), M. Hallett (USA), G. Cruccu (Italy), B. Ongerboer de Visser (The Netherlands), N. Yanagisawa (Japan), M. Shimamura (Japan), J. Rothwell (UK). Human reflexes and late responses. EEG & CN 90 (1994) 393-403. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/90_393.pdf
IFCN Y M. Hallett (USA), A. Berardelli (Italy), P. Delwaide (Belgium), H. Freund (Germany), J. Kimura (Japan), C. Lücking (Germany), J. Rothwell (UK), B. Shahani (USA), N. Yanagisawa (Japan). Central EMG and tests of motor control. EEG & CN 90 (1994) 404-432. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/90_404.pdf
IFCN Y P. Rossini (Italy), A.T. Barker (UK), A. Berardelli (Italy), M. Caramia (Italy), G. Caruso (Italy), R. Cracco (USA), M. Dimitrijevic (USA), M. Hallett (USA), C. Lucking (Germany), A. Maertens de Noordhout (Belgium), C. Marsden (UK), N. Murray (UK), J. Rothwell (UK), M. Swash (UK), C. Tomberg (Belgium). Non-invasive electrical and magnetic stimulation of the brain spinal cord and roots) basic principles and procedures for routine clinical application. EEG & CN 91 (1994) 79-92. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/91_79.pdf
AAN   Surface EMG, Clinical Utility of. Web : www.aan.com/professionals/practice/pdfs/gl0095.pdf (July 2000)
EPTA   Digital EMG/EP Check/Calibration Guidelines Web:epta.50megs.com/resources/cg/digi_cal_ep.pdf
BSCN   Recommendations for Common Peripheral Neurophysiological procedures   Guidelines: www.bscn.org.uk/Documents/Guidelines2006.htm
See also: Guidelines for Common Peripheral Neurophysiological procedures Introduction:www.bscn.org.uk/Documents/Guidelines_Introductory_statement.htm

Evoked Potentials

Publisher Peer
Review
 
AAN ? Evoked Potentials in Identifying Clinically Silent Lesions in Patients with Suspected MS, The Usefulness of (May 2000). : www.aan.com/professionals/practice/pdfs/gl0076.pdf

Visual system

Publisher Peer
Review
 
ISCEV Y Marmor MF, Zrenner E. Standard for clinical electroretinography (1999 update). Doc Ophthalmol 1998;97:143-156. Web: www.iscev.org/standards/erg1999.htm
ISCEV Y Marmor MF, Zrenner E. Standard for clinical electro-oculography. Doc Ophthalmol 1993;85:115-124. Web: www.iscev.org/standards/eog.html
ISCEV Y Marmor MF. Standardization notice: EOG standard reapproved. Doc Ophthalmol 1998;95:92-92.
ISCEV Y Bach M, Hawlina M, Holder GE, Marmor M, Meigen T, Vaegan, Miyake Y. Standard for Pattern Electroretinography. Doc Ophthalmol Doc Ophthalmol 2000;101:11-18. Web: www.iscev.org/standards/perg.html
ISCEV Y Harding GFA, Odom JV, Spileers W, Spekreijse H. Standard for visual evoked potentials. Vision Res 1996;36:3567-3572.
ISCEV Y Visual Electrodiagnostics: A Guide To Procedures. Commissioned by the International Society for Clinical Electrophysiology of Vision (ISCEV), to assist practitioners and administrators. Web: www.iscev.org/standards/proceduresguide.html
IFCN Y G. Celesia (USA), I. Bodis-Wollner (USA), G. Chatrian (USA), G. Harding (UK), S. Sokol (USA), H. Spekreijse (The Netherlands). Recommended standards for electroretinograms and visual evoked potentials. EEG & CN 87 (1993) 421-436. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/87_421.pdf
ISCEV Y Brigell M, Bach M, Barber C, Kawasaki K, Kooijman A. Guidelines for calibration of stimulus and recording parameters used in clinical electrophysiology of vision. Doc Ophthalmol 1998;95:1-14. Web: www.iscev.org/standards/cal.html
AAN   Electronystagmography. Web : www.aan.com/professionals/practice/pdfs/gl0037.pdf (June 1996)

Somato-Sensory system

Publisher Peer
Review
 
AAEM ? Guidelines for Somatosensory Evoked Potentials. Web: www.aanem.net/aanem/practice_issues_statements/practice_parameters/sepguidelines.cfm
AAEM ? Somatosensory Evoked Potentials: Clinical Uses. Web: www.aanem.net/aanem/practice_issues_statements/practice_parameters/sepclinicaluses.cfm
IFCN Y M. Nuwer (USA), M. Aminoff (USA), J. Desmedt (Belgium), A. Eisen (Canada), D. Goodin (USA), S. Matsuoka (Japan), F. Maugiere (France), H. Shibasaki (Japan), W. Sutherling (USA), J.-F. Vilbert (France). IFCN recommended standards for short latency somatosensory evoked potentials. EEG & CN 91 (1994) 6-11. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/91_6.pdf
AAN   Dermatomal Somatosensory Evoked Potentials. Web : www.aan.com/professionals/practice/pdfs/gl0004.pdf (October 1997)

Auditory System

Publisher Peer
Review
 
IFCN Y M. Nuwer (USA), M. Aminoff (USA), D. Goodin (USA), S. Matsuoka (Japan), F. Maugiere (France), A. Starr (USA), J.-F. Vibert (France). IFCN recommended standards for brainstem auditory evoked potentials. EEG & CN 91 (1994) 12-17. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/91_12.pdf
IFCN Y D. Goodin (USA), J. Desmedt (Belgium), K. Maurer (Germany), M. Nuwer (USA). IFCN recommended standards for long-latency auditory event related potentials. EEG & CN 91 (1994) 18-20. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/91_18.pdf

Paediatric Practice

Publisher Peer
Review
 
AAN, AES, CNS   D. Hirtz; S. Ashwal; A. Berg; D. Bettis; C. Camfield; P. Camfield; P. Crumrine; R. Elterman; S. Schneider; and S. Shinnar
Evaluating a first nonfebrile seizure in children.
NEUROLOGY 2000;55:616–623http://www.childneurologysociety.org/lnk_001.asp?lss=13

Basic Mechanisms

Publisher Peer
Review
 
IFCN Y M. Sato (USA), R. Racine (Canada), D. McIntyre (Canada). Kindling: basic mechanisms and clinical validity. EEG & CN 76 (1990) 459-472. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/76_459.pdf
IFCN Y M. Steriade (Canada), P. Gloor (Canada), R.R. Llinas (USA), F. Lopes da Silva (The Netherlands), M. Mesulam (USA.). Basic mechanisms of cerebral rhythmic activities. EEG & CN 76 (1990) 481-408. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/76_481.pdf

Monitoring

Publisher Peer
Review
 
IFCN Y M. Nuwer (USA), J. Daube (USA), C. Fischer (France), J. Schramm (Germany), C. Yingling (USA). Neuromonitoring during surgery. EEG & CN 87 (1993) 263-276. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/87_263.pdf
IFCN Y G.-E. Chatrian (USA), B. Bergamasco (Italy), A. Bricolo (Italy), J. Frost (USA), P. Prior (UK). IFCN recommended standards for electrophysiologic monitoring in comatose and other unresponsive states. EEG & CN 99 (1996) 103-126. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/99_103.pdf
IFCN Y J. Engel (USA), J. Burchfield (USA), J. Ebersole (USA), J. Gates (Canada), J. Gotman (Canada), R. Homan (USA), J. Ives (USA), D. King (USA), J. Lieb (USA), S. Sato (USA), R. Wilkus (USA). Long-term monitoring for epilepsy. EEG & CN 87 (1993) 437-458. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/87_437.pdf
AAN   Intraoperative Neurophysiology. Web: www.aan.com/professionals/practice/pdfs/gl0039.pdf (November 1990)

Signal Analysis

Publisher Peer
Review
 
IFCN Y M. Nuwer (USA), D. Lehmann (Switzerland), F.H. Lopes da Silva (The Netherlands), S. Matsuoka (Japan), W. Sutherling (USA), J.-F. Vilbert (France). IFCN guidelines for topographic and frequency analysis of EEGs and EPs. EEG & CN 91 (1994) 1-5. Web: www.elsevier.nl/homepage/sah/ifcn/pdf/91_1.pdf

Other Neurophysiology

Publisher Peer
Review
 
AAN   Clinical Autonomic Testing. Web: www.aan.com/professionals/practice/pdfs/gl0001.pdf (March 1996)
AAN   Vestibular Testing Techniques in Adults and Children. Web www.aan.com/professionals/practice/pdfs/gl0032.pdf (November 2000)
AAN   Magnetoencephalography. Web: www.aan.com/professionals/practice/pdfs/gl0040.pdf (January 1992)
AAN   Positron Emission Tomography. (February 1991) No longer on website
AAN   SPECT. (January 1996) No longer on website
AAN   Sleep Disorders, Techniques in the Diagnosis and Management of. Web : swww.aan.com/professionals/practice/pdfs/gl0052.pdf (February 1992)
NIH   Infantile Apnea and Home Monitoring. NIH Consens Statement Online 1986 Sep 29-Oct 1 [cited year month day];6(6):1-10. Web: http://odp.od.nih.gov/consensus/cons/058/058_intro.htm
NIH   Differential Diagnosis of Dementing Diseases. NIH Consens Statement Online 1987 Jul 6-8 [cited year month day];6(11):1-27. Web: odp.od.nih.gov/consensus/cons/063/063_intro.htm
NIH   The Treatment of Sleep Disorders of Older People. NIH Consens Statement Online 1990 Mar 26-28 [cited year month day];8(3):1-22. Web: odp.od.nih.gov/consensus/cons/078/078_intro.htm
NIH   Clinical Use of Botulinum Toxin. NIH Consens Statement Online 1990 Nov 12-14 [cited year month day];8(8):1-20. Web: odp.od.nih.gov/consensus/cons/083/083_intro.htm
NIH   Early Identification of Hearing Impairment in Infants and Young Children. NIH Consens Statement Online 1993 Mar 1-3 [cited year month day];11(1):1-24. Web: odp.od.nih.gov/consensus/cons/092/092_intro.htm
NIH   Rehabilitation of Persons With Traumatic Brain Injury. NIH Consens Statement Online 1998 Oct 26-28; [cited year, month, day]; 16(1): 1-41. Web: odp.od.nih.gov/consensus/cons/109/109_intro.htm
NIH   Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder. NIH Consens Statement Online 1998 Nov 16-18; [cited year, month, day]; 16(2): 1-37. Web: odp.od.nih.gov/consensus/cons/110/110_intro.htm

Medical Practice

Publisher Peer
Review
 
Resus   Standards for training and retaining staff, as well as resuscitaiton procedures. Web: www.resus.org.uk
HPA   Deliberate Releases (of chemical and biological agents)Limited references to EMG
Web: www.hpa.org.uk/infections/topics_az/deliberate_release/defaultDAR.htm
    "Safer Needle Now" Compalgn
Web: www.saferneedlesnow.net