1. Failed Vocalis Muscle Monitoring During Thyroid Surgery Resulting From Residual Muscle Relaxation
- Author
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Christian Hoenemann and Marie-Luise Ruebsam
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Intraoperative Neurophysiological Monitoring ,Vagus Nerve Stimulation ,Muscle Relaxation ,Vocal Cords ,Sugammadex ,03 medical and health sciences ,0302 clinical medicine ,Daily practice ,Paralysis ,medicine ,Recurrent laryngeal nerve ,Humans ,Androstanols ,Recurrent Laryngeal Nerve ,business.industry ,Thyroid ,General Medicine ,Middle Aged ,Surgical Injury ,Surgery ,030104 developmental biology ,Muscle relaxation ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Neuromuscular Blockade ,Thyroidectomy ,Female ,Laryngeal Muscles ,Rocuronium ,medicine.symptom ,business ,Vocal Cord Paralysis ,gamma-Cyclodextrins ,medicine.drug - Abstract
Postoperative paralysis of the vocal cords resulting from intraoperative surgical injury of the recurrent laryngeal nerve is one of the most serious complications of elective thyroid surgery. The chance of injury is reduced by using intraoperative neuromonitoring (IONM). This educational report describes a case of IONM failure resulting from residual muscle relaxation that was restored by administration of sugammadex. It discusses possible pharmacology explanations and provides recommendations for how to prevent this situation in daily practice.
- Published
- 2017
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