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KMID : 1104520180180010021
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Journal of Endocrine Surgery
2018 Volume.18 No. 1 p.21 ~ p.36
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Improving Safety of Neural Monitoring in Thyroid Surgery: Educational Considerations in Learning New Procedure
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Dionigi Gianlorenzo
Bartolo Vincenzo
Rizzo Antonio Giacomo
Marullo Massimo
Fabiano Valerio
Catalfamo Antonina
Pergolizzi Francesca Pia
Cancellieri Antonino
Melita Giuseppinella
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Abstract
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Literature on intraoperative neuro monitoring (IONM) during endocrine surgery have increased over recent years. A comprehensive understanding of the role of IONM for prevention of nerve injuries is critical to maximize safety during surgery of the anterior compartment of the neck. Neuromonitoring techniques are currently considered safe technique and technology; however, albeit sporadically, have been reported some complications and related side effects using such methods. The complications described can be related to the electrodes positioned at the larynx, at the obstruction of the endotracheal tube, the drugs used for anesthesia and the effects of electrical stimulation on nerve structures and systemic levels. This review will explore the safety issues of IONM to improve the outcomes among patients undergoing monitored thyroidectomy.
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KEYWORD
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Safety, Neural monitoring, Thyroidectomy, Endocrine Surgical Procedures
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