Successful intraoperative electrophysiologic monitoring of the recurrent laryngeal nerve, a multidisciplinary approach: The Massachusetts Eye and Ear Infirmary monitoring collaborative protocol with experience in over 3000 cases

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• 作者：Alvaro A. Macias ; Sunil Eappen ; Ilya Malikin ; Jeremy Goldfarb ; Sharon Kujawa ; Paul M. Konowitz ; Dipti Kamani and Gregory W. Randolph
• 刊名：Head & Neck
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：38
• 期：10
• 页码：1487-1494
• 全文大小：408K
• ISSN：1097-0347

文摘

Although intraoperative nerve monitoring (IONM) is utilized increasingly, the information on the related anesthesia technique is limited. This study presents an up-to-date clinical algorithm, including setup and troubleshooting of an IONM system, endotracheal tube placement, and anesthetic parameters. To our knowledge, this is the first interdisciplinary collaborative protocol for monitored neck surgery based on the published evidence and clinical experience.