Monitorización del nervio laríngeo recurrente mediante tubo orotraqueal electromiográfico en cirugía de tiroides y paratiroides. Consideraciones anestésicas
Autor: | C. Solaz Roldán, M. Escudero Torrella, J. Martín Jaramago, M. Tamarit Conejeros |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Thyroid Visual identification Electromyography Nerve injury Airway obstruction Critical Care and Intensive Care Medicine medicine.disease Neuromuscular Blocking Agents Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthetic medicine Parathyroid surgery medicine.symptom business medicine.drug |
Zdroj: | Revista Española de Anestesiología y Reanimación. 60:576-583 |
ISSN: | 0034-9356 |
Popis: | Recurrent laryngeal nerve injury remains one of the main complications in thyroid and parathyroid surgery. When this injury is bilateral, an acute upper airway obstruction may occur, leading to a potentially life-threatening situation for the patient. The visual identification of the nerve during surgery is the best way to preserve its integrity. However identification of the nerves by means of electromyographic stimuli through electrodes attached to endotracheal tubes could help in decreasing nerve injury. In these cases the experience and role of the anesthetist is essential to correctly place the electromyographic endotracheal tube and ensure that the electrodes are in touch with the vocal cords during the surgery. Moreover, the results of the electromyography can be affected by the neuromuscular blocking agents. Therefore, the choice and dose must be adapted, in order to ensure a suitable anesthetic depth, and adequate response. |
Databáze: | OpenAIRE |
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