Optimal anesthesia protocols for successful intraoperative neuromonitoring during thyroid surgery

Optimal anesthesia protocols for successful intraoperative neuromonitoring during thyroid surgery

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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