S15-5. Anesthetic management for intraoperative neuromonitoring

Highlights of anesthetic considerations for intraoperative neuromonitoring.

Though relatively new, intraoperative neurophysiological monitoring (IONM) has become standard of care for many neurosurgical procedures. The use of IONM has substantially decreased the rate of paralysis after deformity surgery, and has been validated in cervical spine surgery, and thoracic and lumbar laminectomy (1) (2), (3). The main modalities are: somatosensory evoked potentials (SSEPs), mo...

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...

[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...

Perioperative mortality: intraoperative anesthetic management matters.

OBVIOUSLY, we all wish for our patients to do well. We learn about our patients’ comorbidities and develop anesthetic plans that impress colleagues and oral board examiners. We make efforts to influence our patients’ outcomes by implementing protocols for perioperative -adrenergic blockade and postoperative analgesia. But are there more important factors readily within our control that we are n...

Intraoperative Anesthetic Management for Vascular and Endovascular Abdominal Aortic Surgery