Nerve Integrity Monitor tubes for thyroid surgery

Medniuk, A.; Bareisiene, D.; Ahmad, Imtiaz

doi:10.1111/anae.12608

Cited by 2 publications

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…IONM simulates nerve impulse with a pulse current, which causes muscle fiber to produce compound muscle action potential and record it. By analyzing the amplitude, latency, and duration of an action potential, the conduction function of motor nerve meridian can be judged, and visual electromyography (EMG) can be formed (10,11). During the surgery, the direction of RLN and whether there is mechanical and energy damage during surgery can be judged by waveform and numerical value.…”

Section: Introductionmentioning

confidence: 99%

A new anesthesia scheme for parathyroidectomy under neuromonitoring: a retrospective cohort study

Wang

Zhang

et al. 2021

Gland Surg

View full text Add to dashboard Cite

Background: Parathyroidectomy under nerve monitoring has been carried out for nearly ten years in the China-Japan Union Hospital of Jilin University. We retrospectively evaluated patients' prognosis with secondary hyperparathyroidism (SH) under neuro-and non-neuro-monitored parathyroidectomy anesthesia.The purpose of this study is to summarize and introduce a new anesthesia scheme for parathyroidectomy under nerve monitoring.Methods: From January 2000 to December 2019, 200 patients with SH in the China-Japan Union Hospital of Jilin University were retrospectively analyzed. Among them, 100 patients underwent parathyroidectomy under neurological monitoring (Group A), and 100 patients underwent parathyroidectomy without neurological monitoring (Group B). The dosage of muscle relaxant, parathyroid hormone (PTH), serum calcium, phosphorus, urea, creatinine, and alkaline phosphatase (ALP) was recorded before surgery (T0), after surgery (T1), at discharge (T2), during skin incision (Ta), at four parathyroidectomies (Tb), and 10 min after total removal. The levels of PTH were measured at four-time points (Tc) and 30 minutes (Td) after complete resection.Results: After screening and propensity score match (PSM), the data of 92 patients were analyzed. Group A's muscle relaxant dose was significantly less than Group B; the length of hospital stay in Group A was significantly lower than in Group B (P<0.05). The serum calcium levels, phosphorus, urea, and creatinine at T2 in Group A were lower than those in Group B (P<0.05).Conclusions: Parathyroid nerve monitoring technology combined with preoperative complete anesthesia scheme, anesthesia induction with one time ED95 (95% effective drug dose) cis-atracurium, end breath gas, and sevoflurane maintenance anesthesia under BIS monitoring can improve the prognosis of patients, shorten the length of hospital stay, and is effective and safe.

show abstract

Section: Introductionmentioning

confidence: 99%

A new anesthesia scheme for parathyroidectomy under neuromonitoring: a retrospective cohort study

Wang

Zhang

et al. 2021

Gland Surg

View full text Add to dashboard Cite

show abstract

Recurrent laryngeal nerve management in thyroid surgery: consequences of routine visualization, application of intermittent, standardized and continuous nerve monitoring

et al. 2016

View full text Add to dashboard Cite

The objective is to compare the consequences of routine visualization (RV) and the application of intermitted (I-IONM), standardized (S-IONM), and continuous monitoring (C-IONM) of recurrent laryngeal nerve (RLN) management. RV includes that 698 RLNs managed solely with visual identification. In a second period 777, RLNs were handled by the I-IONM. The third period 768 RLNs monitoring was performed according to the standards. C-IONM via VN stimulation included 626 RLNs. The following issues were analyzed and compared per each period study: RLN identification rate, branching detection, assessment of NRLN, intraoperative recognizable nerve damage, stage thyroidectomy rate, transient or definitive lesions, bilateral nerve palsy, and recovery time. Significance for nerve identification rate was achieved (p = 0.03) when the statistical analysis was applied between RV vs. S-IONM and C-IONM. Extralaryngeal bifurcation was identified in 21, 44, 43, and 46 of RLN dissected, respectively, per period (p = 0.005). The incidence of paralysis in identified and unidentified RLN was 3.8 % (107/2806) and 82 % (52/63), respectively. Rates of temporary/permanent RLNP were 16.7/1.7, 5/1.1, 4.5/1, and 3.1/0 % per period study, respectively (p = 0.07). Recognizable intraoperatively nerve damage was, respectively, 15, 45, 100, and 100 % for period study (p = 0.03). The recovery of injured nerves was significantly faster in C-IONM group. S-IONM and C-IONM cumulate 40-stage procedures. The standardized technique, guidelines adherences, and C-IONM allowed to (1) increase RLN identification; (2) reduce the severity of injuries in terms of (a) reset bilateral RLNP, (b) faster recovery time, and

show abstract

Nerve Integrity Monitor tubes for thyroid surgery

Cited by 2 publications

References 2 publications

A new anesthesia scheme for parathyroidectomy under neuromonitoring: a retrospective cohort study

A new anesthesia scheme for parathyroidectomy under neuromonitoring: a retrospective cohort study

Recurrent laryngeal nerve management in thyroid surgery: consequences of routine visualization, application of intermittent, standardized and continuous nerve monitoring

Contact Info

Product

Resources

About