Limits of continuous neural monitoring in thyroid surgery

Sun, Hui; Wu, Che‐Wei; Catalfamo, Antonio; Fabiano, V.; Dionigi, Gianlorenzo

doi:10.1007/s13304-018-0593-6

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Also, there is a learning curve for accurate use of C‐IONM, and proper training remains a gold standard for safe and effective C‐IONM performance 37,54,63 . Currently, there is no data available on the learning curve of technical or interpretive aspects of C‐IONM 64 …”

Section: Resultsmentioning

confidence: 99%

Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring

et al. 2021

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Background Intraoperative neuromonitoring (IONM) techniques have evolved over the past decade into intermittent IONM (I‐IONM) and continuous IONM (C‐IONM) modes of application. Despite many prior publications on both types of IONM, there remains uncertainty about what outcomes should be measured for each form of IONM. The primary objective of this paper is to define categories of benefit for I‐IONM/C‐IONM and to clarify and standardize their reporting outcomes. Methods Expert review consensus statement utilizing modified Delphi methodology. Results I‐IONM provides diagnosis, classification, and prevention of nerve injury through accurate and early nerve identification. C‐IONM provides real‐time information on nerve functional integrity and thus may prevent some types of nerve injury but cannot assist in nerve localization. Sudden mechanisms of nerve injury cannot be predicted or prevented by either technique. Conclusions I‐IONM and C‐IONM are complementary techniques. Future studies evaluating the utility of IONM should focus on outcomes that are appropriate to the type of IONM being utilized.

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Section: Resultsmentioning

confidence: 99%

Clarifying optimal outcome measures in intermittent and continuous laryngeal neuromonitoring

et al. 2021

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Neuromonitoraggio continuo in chirurgia tiroidea

et al. 2020

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Sommario La tecnica del monitoraggio intraoperatorio continuo (CIONM) del nervo laringeo ricorrente (NLR) è riconosciuta come uno strumento utile per riconoscere le lesioni nervose imminenti e interrompere la relativa manovra chirurgica per prevenire le lesioni permanenti durante la tiroidectomia. Il CIONM fornisce costantemente preziose informazioni in tempo reale, il che è molto utile durante interventi chirurgici complessi della tiroide, specialmente in Proposto da Gianlorenzo Dionigi.Materiale elettronico supplementare La versione elettronica di questo articolo (

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