Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement.

Gw Randolph, H Dralle, Study Group International Intraoperative Monitoring, H Abdullah, M Barczynski, Rocco Domenico Alfonso Bellantone, M Brauckhoff, B Carnaille, S Cherenko, Fy Chiang, G Dionigi, C Finck, D Hartl, D Kamani, K Lorenz, P Miccolli, R Mihai, A Miyauchi, L Orloff, N PerrierMd Poveda, A Romanchishen, J Serpell, A Sitges Serra, T Sloan, S Van Slycke, S Snyder, H Takami, E Volpi, G. Woodson

Risultato della ricerca: Contributo in rivistaArticolo in rivista

527 Citazioni (Scopus)


Intraoperative neural monitoring (IONM) during thyroid and parathyroid surgery has gained widespread acceptance as an adjunct to the gold standard of visual nerve identification. Despite the increasing use of IONM, review of the literature and clinical experience confirms there is little uniformity in application of and results from nerve monitoring across different centers. We provide a review of the literature and cumulative experience of the multidisciplinary International Neural Monitoring Study Group with IONM spanning nearly 15 years. The study group focused its initial work on formulation of standards in IONM as it relates to important areas: 1) standards of equipment setup/endotracheal tube placement and 2) standards of loss of signal evaluation/intraoperative problem-solving algorithm. The use of standardized methods and reporting will provide greater uniformity in application of IONM. In addition, this report clarifies the limitations of IONM and helps identify areas where additional research is necessary. This guideline is, at its forefront, quality driven; it is intended to improve the quality of neural monitoring, to translate the best available evidence into clinical practice to promote best practices. We hope this work will minimize inappropriate variations in monitoring rather than to dictate practice options.
Lingua originaleEnglish
pagine (da-a)1-16
Numero di pagine16
Stato di pubblicazionePubblicato - 2011


  • nerve monitoring
  • recurrent laryngeal nerve


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