Optimal anesthesia protocols for successful intraoperative neuromonitoring during thyroid surgery
Optimal anesthesia protocols for successful intraoperative neuromonitoring during thyroid surgery
- 대한신경모니터링학회
- Journal of Neuromonitoring & Neurophysiology
- Vol.2 No.2
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2022.1131 - 37 (7 pages)
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DOI : 10.54441/jnn.2022.2.2.31
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There are several factors related to anesthesia that are required for successful intraoperative neuromonitoring (IONM) during thyroid and parathyroid surgery, including proper placement of endotracheal tube, adequate neuromuscular blockade, use of appropriate neuromuscular blockade reversal agent, and pain management. In this review, we summarize the anesthesia issues related to IONM during thyroid and parathyroid surgery.
Introduction
Various types of EMG detection sensors
EMG tube intubation and positioning
Selecting neuromuscular blockade agent and reversal agent
Selecting maintenance anesthetic agents
Pain control for IONM during thyroid surgery
Role of train of four (TOF) during IONM
Conclusion
Acknowledgements
Funding
Conflicts of Interest
ORCID
References
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