Assessment of Recurrent Laryngeal Nerve During Thyroid Surgery With Laryngeal Mask Airway

Abstract

To study the feasibility of using laryngeal mask anesthesia (LMA) with bronchoscopic evaluation of recurrent laryngeal nerve (RLN) integrity when stimulated.

Efficacy of laryngeal mask airway against postoperative pharyngolaryngeal complications following thyroid surgery: a systematic review and meta-analysis of randomized controlled studies

“…On the other hand, there are still concerns over the safety of LMA use in patients receiving thyroid surgery 53 due to the potential dangers of intraoperative dislodgment and inadequate ventilation that could not be timely corrected through emergent airway access because of potential interference with ongoing surgery 26 . However, previous investigations have demonstrated a rarity of intraoperative conversion from LMA to ETT 12 , 54 and one of our included studies showed that mild to moderate shift of the LMA during surgery was insufficient to impede ventilation 26 .…”

Efficacy of laryngeal mask airway against postoperative pharyngolaryngeal complications following thyroid surgery: a systematic review and meta-analysis of randomized controlled studies

“…On the other hand, there are still concerns over the safety of LMA use in patients receiving thyroid surgery 53 due to the potential dangers of intraoperative dislodgment and inadequate ventilation that could not be timely corrected through emergent airway access because of potential interference with ongoing surgery 26 . However, previous investigations have demonstrated a rarity of intraoperative conversion from LMA to ETT 12 , 54 and one of our included studies showed that mild to moderate shift of the LMA during surgery was insufficient to impede ventilation 26 .…”

Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring

“…The contractile response is most commonly recorded on endotracheal tube‐based surface electrode systems. Alternative methods for recording the contractile response include glottic observation, laryngeal palpation, postcricoid electrodes 6,22–24 …”

Airway management in the outpatient setting: new devices and techniques

“…They are increasingly being used for more challenging patients such as the morbidly obese undergoing laparoscopic surgery but more work is required in this area before this becomes an accepted technique. They are being used for thyroid surgery [27,28 ] and increasingly in laparoscopic surgery such as laparoscopic cholecystectomy [29,30]. As our experience with the new devices increases we may find that certain devices have advantages in some patient groups.…”

Efficacy of laryngeal mask airway against postoperative pharyngolaryngeal complications following thyroid surgery: a systematic review and meta-analysis of randomized controlled studies

“…On the other hand, there are still concerns over the safety of LMA use in patients receiving thyroid surgery 53 due to the potential dangers of intraoperative dislodgment and inadequate ventilation that could not be timely corrected through emergent airway access because of potential interference with ongoing surgery 26 . However, previous investigations have demonstrated a rarity of intraoperative conversion from LMA to ETT 12 , 54 and one of our included studies showed that mild to moderate shift of the LMA during surgery was insufficient to impede ventilation 26 .…”

Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring

“…The contractile response is most commonly recorded on endotracheal tube‐based surface electrode systems. Alternative methods for recording the contractile response include glottic observation, laryngeal palpation, postcricoid electrodes 6,22–24 …”

Airway management in the outpatient setting: new devices and techniques

“…They are increasingly being used for more challenging patients such as the morbidly obese undergoing laparoscopic surgery but more work is required in this area before this becomes an accepted technique. They are being used for thyroid surgery [27,28 ] and increasingly in laparoscopic surgery such as laparoscopic cholecystectomy [29,30]. As our experience with the new devices increases we may find that certain devices have advantages in some patient groups.…”

Efficacy of laryngeal mask airway against postoperative pharyngolaryngeal complications following thyroid surgery: a systematic review and meta-analysis of randomized controlled studies

“…On the other hand, there are still concerns over the safety of LMA use in patients receiving thyroid surgery 53 due to the potential dangers of intraoperative dislodgment and inadequate ventilation that could not be timely corrected through emergent airway access because of potential interference with ongoing surgery 26 . However, previous investigations have demonstrated a rarity of intraoperative conversion from LMA to ETT 12 , 54 and one of our included studies showed that mild to moderate shift of the LMA during surgery was insufficient to impede ventilation 26 .…”

Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring

“…The contractile response is most commonly recorded on endotracheal tube‐based surface electrode systems. Alternative methods for recording the contractile response include glottic observation, laryngeal palpation, postcricoid electrodes 6,22–24 …”

Airway management in the outpatient setting: new devices and techniques

“…They are increasingly being used for more challenging patients such as the morbidly obese undergoing laparoscopic surgery but more work is required in this area before this becomes an accepted technique. They are being used for thyroid surgery [27,28 ] and increasingly in laparoscopic surgery such as laparoscopic cholecystectomy [29,30]. As our experience with the new devices increases we may find that certain devices have advantages in some patient groups.…”