Bibliographic Details
| Title: |
Recurrent Laryngeal Nerve Monitoring and Rocuronium: A Selective Sugammadex Reversal Protocol. |
| Authors: |
Empis de Vendin, Ombeline ombelineempisdevendin@hotmail.fr, Schmartz, Denis d.schmartz@chru-nancy.fr, Brunaud, Laurent l.brunaud@chru-nancy.fr, Fuchs-Buder, Thomas t.fuchs-buder@chru-nancy.fr |
| Source: |
World Journal of Surgery. Sep2017, Vol. 41 Issue 9, p2298-2303. 6p. |
| Subject Terms: |
*NEUROMUSCULAR blocking agents, *LARYNGEAL nerves, *THYROID gland surgery, *ROCURONIUM bromide, *COHORT analysis, *INTRAOPERATIVE care |
| Abstract: |
Background: The use of neuromuscular blocking agents may affect intraoperative neuromonitoring during thyroid surgery. A selective neuromuscular recovery protocol was evaluated in a retrospective cohort study during human thyroid neural monitoring surgery. Methods: One hundred and twenty-five consecutive patients undergoing thyroidectomy with intraoperative neuromonitoring followed a selective neuromuscular block recovery protocol-single intubating dose of rocuronium followed by sugammadex if needed at the first vagal stimulation (V1). Results: Data from 120 of 125 patients could be analysed. Fifteen (12.5%) patients needed sugammadex reversal to obtain an EMG response at the first vagal stimulation (V1). In the remaining 105 patients, spontaneous recovery of rocuronium-induced neuromuscular block was sufficient for a successful first vagal stimulation (V1). Conclusions: In patients undergoing thyroid surgery, routine reversal of rocuronium block with sugammadex is not mandatory for reliable intraoperative neuromonitoring. A selective neuromuscular block recovery approach may be a valuable and more cost-efficient alternative to routine reversal. [ABSTRACT FROM AUTHOR] |
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| Database: |
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