Neuromonitoring Techniques

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Neuromonitoring in thyroid surgery.

PURPOSE OF REVIEW Laryngeal nerve injuries are among the most important complications of thyroidectomy. Recently, the use of neuromonitoring has been increasingly employed in order to predict and document nerve function at the end of thyroidectomy. RECENT FINDINGS There is much controversy in recent studies concerning neuromonitoring in thyroid surgery. Some authors believe that the method do...

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Neuromonitoring during adult cardiac surgery

The brain has been considered an index organ for global tissue perfusion because of the physiological processes aimed at flow preservation to vital organs of the body[1].When cerebral perfusion is compromised, other organs are likely inadequately perfused as well. It would therefore be prudent to monitor cerebral perfusion based on the proposition that interventions aimed at its preservation wi...

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Intraoperative neuromonitoring and other techniques limiting the number of complications in thyroid surgery

Evolution of surgical techniques, together with progress in other fields of medicine (particularly in anesthesiology) limited practically to zero the mortality in thyroid surgery. Further development in thyroid surgery is directed towards limitations of postoperative complication rates. The specific complications after thyroid surgery are hypoparathyroidism and recurrent laryngeal nerve (RLN) p...

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Thyroid reoperation using intraoperative neuromonitoring

PURPOSE Thyroid reoperations are at a high risk of recurrent laryngeal nerve (RLN) injury. The aim of the study was to investigate whether the use of intraoperative neuromonitoring (IONM) can aid in the RLN identification and minimize the risk of its injury, in comparison with visual RLN identification. METHODS This was a retrospective cohort study of patients who underwent thyroid reoperatio...

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[Intraoperative neuromonitoring in thyroid surgery].

BACKGROUND Intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery facilitates the identification of anatomical structures in cervical endocrine surgery reducing the frequency of vocal cord paralysis. OBJECTIVE To study the normal electrophysiological values of the vague and recurrent laryngeal nerves before and after thyroid surgery. To compare rates of injury of r...

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ژورنال

عنوان ژورنال: Anesthesia & Analgesia

سال: 2018

ISSN: 0003-2999

DOI: 10.1213/ane.0000000000003425