Effect of laryngotracheal topical anesthesia on recurrent laryngeal nerve monitoring during thyroid Surgery
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- 作者：Justin Pachuski ; MDa ; jpachuski1@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; Sonia Vaida ; MDa ; svaida@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; Kathleen Donahue ; DOa ; kdonahue@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; John Roberts ; MDb ; jroberts8@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; Allen Kunselman ; MAc ; ark3@psu.edu" class="auth_mail" title="E-mail the corresponding author ; Benjamin Oberman ; MDb ; boberman@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; Hetal Patel ; MDb ; hpatel5@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author ; David Goldenberg ; MD ; FACSb ; dgoldenberg@hmc.psu.edu" class="auth_mail" title="E-mail the corresponding author
- 关键词：Intraoperative neuromonitoring ; Recurrent laryngeal nerve ; Laryngotracheal topical anesthesia ; Lidocaine ; Thyroidectomy
- 刊名：Journal of Clinical Anesthesia
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：29
- 期：Complete
- 页码：10-13
- 全文大小：169 K
文摘
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Intraoperative neuromonitoring of the recurrent laryngeal nerve (RLN) is used to minimize risk of RLN paralysis during thyroid surgeries.
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Laryngotracheal anesthesia (LTA) decreases coughing upon emergence, minimizing risk of hematoma formation.
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LTA is prohibited during these cases because of concerns that it can interfere with intraoperative neuromonitoring of the RLN.
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We show that LTA administration does not have an inhibitory effect on the conduction of the RLN.