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Anesthesia Management of Total Thyroidectomy Using a NIM EMG Endotracheal Tube: A Case Report
Chan, Toi Nei
Chan, Toi Nei
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Publisher
OMICS Publishing Group
Date
2016
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Abstract
Total thyroidectomy is not routinely performed for indications other than malignancy until the last quarter of the twentieth century. Despite significant advancement in surgical techniques of total thyroidectomy developed by Theodore Kocher and William Halsted, significant risks including damage to the recurrent laryngeal nerve, hematoma, and thyroid storm are still important considerations when weighing against surgical benefits. Currently the use of neural integrity monitor (NIM) electromyogram (EMG) tracheal tube has become increasingly popular among surgeons to reduce risks of damage to the recurrent laryngeal nerves. The purpose of this case report is to discuss anesthetic management in a 48-year-old female patient undergoing total thyroidectomy using a NIM endotracheal tube (Medtronic Xomed, Jacksonville, Florida).
Contents
Subject
Surgery
Recurrent laryngeal nerve
Tracheal tube
Malignancy
Hematoma
Thyroid storm
Total thyroidectomy
Endotracheal tube
Female patient
Medicine
Recurrent laryngeal nerve
Tracheal tube
Malignancy
Hematoma
Thyroid storm
Total thyroidectomy
Endotracheal tube
Female patient
Medicine
Subject(s)
Research Projects
Organizational Units
Journal Issue
Genre
Description
Format
Department
Nurse Anesthesia