Continuous intraoperative neuromonitoring in thyroid surgery: Safety analysis of 400 consecutive electrode probe placements with standardized procedures

Continuous intraoperative neuromonitoring in thyroid surgery: Safety analysis of 400 consecutive electrode probe placements with standardized procedures
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DOI:
10.1002/hed.24280
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发表时间:
2016-04-01
影响因子:
2.9
通讯作者:
Dionigi, Gianlorenzo
Dionigi, Gianlorenzo
中科院分区:
医学2区
文献类型:
--
作者:
Mangano, Alberto;Kim, Hoon Yub;Dionigi, Gianlorenzo

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背景术中连续神经监测(C-IONM)是一项新技术,其安全性值得探讨。根据标准化技术进行C-IONM,以控制任何不良事件和电极定位问题。考虑迷走神经直径、C-IONM探头定位的平均时间努力和电极脱位率,分析了400例迷走神经夹层。在以下情况下,脱位率显著上级:(a)当在迷走神经直径中使用3 mm自动周期性刺激(APS)电极时
Background. Continuous intraoperative neuromonitoring (C-IONM) is a new technology and it is appropriate to analyze its safety.Methods. C-IONM was performed according to a standardized technique to control any adverse events and electrode positioning issues.Results. Four hundred vagal nerve dissections were analyzed considering vagal nerve diameter, mean time effort for C-IONM probe positioning, and electrode dislocation rate. A significant superior dislocation rate in case of: (a) when a 3 mm automatic periodic stimulating (APS) electrode size was used in a vagal nerve diameter