학술논문
Use of NMBA and reversal agent during thyroid surgery with intraoperative neuromonitoring
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- 영문명
- Use of NMBA and reversal agent during thyroid surgery with intraoperative neuromonitoring
- 발행기관
- 대한신경모니터링학회
- 저자명
- Leerang Lim
- 간행물 정보
- 『Journal of Neuromonitoring & Neurophysiology』Vol.3 No.1, 19~24쪽, 전체 6쪽
- 주제분류
- 의약학 > 일반외과학
- 파일형태
- 발행일자
- 2023.05.31
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국문 초록
영문 초록
Neuromuscular blocking agent (NMBA) provides adequate muscle relaxation for intubation and surgery, but their use can interfere with the interpretation of intraoperative neuromonitoring (IONM) signals. Various strategies for the use of NMBA during thyroid surgery with IONM have been proposed for both safe anesthesia and surgery, and adequate quality of IONM. Relaxant-free anesthesia or use of succinylcholine is not recommended as a routine use due to the potential of fatal complications such as laryngeal injury or malignant. Instead, the use of a single dose of rocuronium for intubation with or without a reversal agent has been widely adapted. Though spontaneous recovery of neuromuscular blockade can be achieved without a reversal agent, use of a reversal agent can shorten the time for adequate IONM. Both neostigmine and Sugammadex can be used to reverse the neuromuscular blockade. Neostigmine reverses all types of non-depolarizing NMBA, but can accompany systemic cholinergic effect, and is not effective to deep or higher level of blockade. Sugammadex only reverses the effect of aminosteroid NMBAs, but effective to all levels of blockade. Overall, appropriate strategies for the use of NMBAs and reversal agents are needed to ensure effective IONM without increasing the risk of nerve injury during surgery.
목차
Introduction
NMBAs and Their Reversal Agents
Use of NMBA during Thyroid Surgery
Strategies for Using NMBA and Reversal Agent for IONM during Thyroid Surgery
Conclusion
Funding
Conflict of Interest
ORCID
References
키워드
해당간행물 수록 논문
- 갑상선 수술 중 신경모니터링의 훈련 프로그램 개발
- Use of NMBA and reversal agent during thyroid surgery with intraoperative neuromonitoring
- Surgical treatment for facial nerve involvement in salivary gland tumor
- Application of total intravenous anesthesia (TIVA) during intraoperative neuromonitoring (IONM)
- Robotic parathyroidectomy in primary hyperparathyroidism via the bilateral axillo-breast approach
- 갑상선 절제술 전후 음성치료
- 갑상선 수술 중 신경 손상에 대한 예방과 치료
- 피부 부착 전극을 이용한 후두 신경 감시술
- 재발성 갑상선암 수술 중 신경 모니터링 1예
- 기도폐쇄를 동반한 흉골하 갑상선종 1예
- Journal of Neuromonitoring & Neurophysiology Vol.3 No.1 목차
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