Table 1. Studies that specifically involved the antidromic CMAP technique.
| First author (Ref.) | Frequency (Hz) | Pulse width (ms) | Intensity range* | Intensity increments* | Contacts | Criteria | Anesthesia | Localization success rate (%) |
|---|---|---|---|---|---|---|---|---|
| Shils JL8 | 60 | 210 | Min to Max stimulator output | 0.5 | Pairs with cranial anodes. If no activation, more anodes were added | Initial side activated and then relative to the other side based on intensity for laterality. See text and Fig. 4 | TIVA, with propofol and fentanyl after intubation | 91.3 |
| Mammis A9 | 5–10 | 200–300 | Not specified | Not specified | Pairs of contacts on the most-lateral columns of a lead | Lead position was adjusted based on EMG symmetry (not defined) | General anesthesia | Not specified |
| Falowski SM10 | 3–5 | 100–600 | 0–12 mA | Not specified | Select pairs of electrodes (undefined) | Stimulus-evoked CMAP and fluoroscopy used to define the midline (undefined technique) | TIVA, with propofol, narcotics, and benzodiazepines | Not specified |
| Schoen N11 | 60–70 | Not specified | 200–400 mV | 50 mV | Not specified | Comparison of left and right stimulation | TIVA with propofol, or dexmedetomidine with a narcotic | Not specified |
| Tamkus AA12 | 60 | 210 | Min to Max stimulator output | 0.5 | Pairs with cranial anodes. If no activation, more anodes were added | See reference 8 | TIVA | 93.5 |
| Roth SG13 | 60 | 300 | 0–10 units | 0.5 | Contact of interest based on the predicted sweet spot | Lateralization was determined on one side. Responses of pairs of contacts were at least twofold those of the corresponding contact pair | Not specified | 89.0 |
| Air EL14 | Initially >50, then >10 | 200–300 | 4–10 mA | Not specified | Right and left guarded cathode configuration. | Symmetry between right and left leads used to determine the midline | General anesthesia | 100 |
| Both lateral and midline columns were tested |
*Unspecified units for the device output, and could be either milliamps or volts.
CMAP: compound muscle action potential, Max: maximum, Min: minimum, TIVA: total intravenous anesthetic.