SPECIFIC FEATURES OF ANESTHETIC SUPPORT IN THYROID SURGERY WITH NEUROMONITORING OF RECURRENT LARYNGEAL NERVES
https://doi.org/10.21292/2078-5658-2017-14-1-51-57
Abstract
The literature review describes the specifics of anesthesia when performing surgeries on the thyroid and parathyroid glands with neuromonitoring of recurrent laryngeal nerves. This technique has been described, the rationale of its use and role of the anesthesiologist in the provision of full functioning of neuromonitoring have been investigated. The article describes the anesthesia techniques (choice of neuromuscular relaxant, hypnotic and analgesic agents), method of endotracheal tube insertion, electrode positioning, causes of potential failures and ways of their management.
About the Authors
M. A. Alekseev
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg
Russian Federation
Doctor of Anesthesiology and Intensive Care Department
Russian Federation
Doctor of Anesthesiology and Intensive Care Department
V. A. Makarin
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg
Russian Federation
Doctor of Endocrine Surgery Department
Russian Federation
Doctor of Endocrine Surgery Department
O. V. Kuleshov
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg;
I. I. Mechnikov Northern-Western Medical University, St. Petersburg
Russian Federation
Head of Anesthesiology and Intensive Care Department
Russian Federation
Head of Anesthesiology and Intensive Care Department
A. A. Uspenskaya
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg
Russian Federation
Candidate of Medical Sciences, Doctor of Endocrine Surgery Department
Russian Federation
Candidate of Medical Sciences, Doctor of Endocrine Surgery Department
A. Yu. Kulikov
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg;
I. I. Mechnikov Northern-Western Medical University, St. Petersburg
Russian Federation
Doctor of Anesthesiology and Intensive Care Department
Russian Federation
Doctor of Anesthesiology and Intensive Care Department
Yu. N. Fedotov
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg;
I. I. Mechnikov Northern-Western Medical University, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor, Director
Russian Federation
Doctor of Medical Sciences, Professor, Director
A. N. Bubnov
St. Petersburg Mutli-Purpose Center, (University Clinics of St. Petersburg University), St. Petersburg;
I. I. Mechnikov Northern-Western Medical University, St. Petersburg;
St. Petersburg University, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor of Operative Anatomy and Surgery Department
Russian Federation
Doctor of Medical Sciences, Professor of Operative Anatomy and Surgery Department
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Review
For citations:
Alekseev M.A., Makarin V.A., Kuleshov O.V., Uspenskaya A.A., Kulikov A.Yu., Fedotov Yu.N., Bubnov A.N. SPECIFIC FEATURES OF ANESTHETIC SUPPORT IN THYROID SURGERY WITH NEUROMONITORING OF RECURRENT LARYNGEAL NERVES. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(1):51-57. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-1-51-57
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