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Continuous Intraoperative Nerve Monitoring (C-IONM) in thyroid surgery provides real-time information on nerve functional integrity. The ability of C-IONM to prevent nerve injury is dependent in part on the responsiveness of the surgical team to the neurophysiological information provided. In this setting, a standard and reproducible technique and the knowledge of warning criteria and thresholds are of utmost importance obtaining the best results. We describe our use of C-IONM during thyroid surgery using a system for vagal C-IONM with an open bipolar electrode as added component to an intermittent IONM system.

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C-IONM of the RLN: How to Do It?

  • 章节

  • 发表日期：

    2025年

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  • Luca Sessa,
  • Andrea Attard,
  • Carmela De Crea,
  • Marco Raffaelli

摘要

Continuous Intraoperative Nerve Monitoring (C-IONM) in thyroid surgery provides real-time information on nerve functional integrity. The ability of C-IONM to prevent nerve injury is dependent in part on the responsiveness of the surgical team to the neurophysiological information provided. In this setting, a standard and reproducible technique and the knowledge of warning criteria and thresholds are of utmost importance obtaining the best results. We describe our use of C-IONM during thyroid surgery using a system for vagal C-IONM with an open bipolar electrode as added component to an intermittent IONM system.