Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Frequency of side effects experienced in two different NIM-EMG tubes used in thyroid and parathyroid surgery; a prospective observational study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968535 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2253 (Electronic) Linking ISSN: 14712253 NLM ISO Abbreviation: BMC Anesthesiol Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2001-
    • الموضوع:
      Electromyography*/methods ; Intubation, Intratracheal*/instrumentation ; Intubation, Intratracheal*/adverse effects ; Intubation, Intratracheal*/methods ; Parathyroidectomy*/adverse effects ; Thyroidectomy*/adverse effects ; Thyroidectomy*/methods ; Monitoring, Intraoperative*; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies
    • نبذة مختصرة :
      Background: In this study, we observed the frequency of side effects encountered when the neural integrity monitor electromyogram endotracheal tube (NIM-EMG-ETT) was used in thyroidectomy and parathyroidectomy surgeries.
      Methods: After obtaining hospital ethics committee approval, 239 cases affiliated with the American Society of Anesthesiologists (ASA II-IV) who used NIM EMG tubes in thyroid and parathyroid surgery were included in the prospective observational study. Tube and patient-related complications encountered with two different NIM EMG-ETT (silicone and polyvinyl chloride-PVC) were recorded.
      Results: The average age of the patients is 49.50 ± 13.44 years, the average BMI is 28.25 ± 4.91 kg/m 2 , the median surgery time is 115 (32-475) minutes, 75.7% are women, 97.5% are ASA II. Additional diseases other than thyroid and parathyroid problems were present in 77.3%. Thyroidectomy was performed in 73.2% of the patients. In our study, only 0.8% of patients with transient recurrent laryngeal nerve RLN paralysis were observed in thyroid and parathyroid surgeries performed using NIM-EMG tubes, 3 patient already had nerve involvement in the preoperative period. The most common complication was loss of stimulation response related to tubes and patient-related ventilation failure. There was no difference between the complications of silicone and PVC tubes except for irregular EMG response.
      Conclusions: There was no significant difference in side effects other than irregular EMG response in the two different tubes we used in our study. It was observed that prolonging the surgical time increased the risk of irregular EMG response. It should not be forgotten that no matter which NIM-EMG tube is used, additional risks are encountered during the intubation and extubation process. In order to avoid negative consequences, it is necessary to follow the usage rules recommended by the manufacturer when using NIM-EMG tubes.
      (© 2024. The Author(s).)
    • References:
      Indian J Anaesth. 2021 Mar;65(Suppl 1):S51-S53. (PMID: 33814592)
      World J Surg. 2008 Sep;32(9):1935-9. (PMID: 18392652)
      Arch Otolaryngol Head Neck Surg. 2012 Jun;138(6):588-91. (PMID: 22710512)
      Br J Surg. 2013 Apr;100(5):662-6. (PMID: 23341266)
      Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Jun;130(3):131-6. (PMID: 23428343)
      Am J Surg. 2021 Feb;221(2):472-477. (PMID: 33121660)
      Medicine (Baltimore). 2020 Jun 19;99(25):e20250. (PMID: 32569160)
      Br J Surg. 2016 Dec;103(13):1828-1838. (PMID: 27538052)
      Arch Otolaryngol Head Neck Surg. 2007 May;133(5):481-5. (PMID: 17520762)
      Turk J Surg. 2018 Nov 20;35(4):259-264. (PMID: 32551421)
      Curr Opin Endocrinol Diabetes Obes. 2016 Oct;23(5):394-9. (PMID: 27584011)
      J Craniofac Surg. 2011 Nov;22(6):2419-21. (PMID: 22134299)
      JAMA Otolaryngol Head Neck Surg. 2016 Oct 1;142(10):994-1001. (PMID: 27490310)
      J Surg Res. 2016 Jul;204(1):29-33. (PMID: 27451864)
      Laryngoscope. 2011 Jan;121 Suppl 1:S1-16. (PMID: 21181860)
      Indian J Surg. 2015 Dec;77(Suppl 2):466-71. (PMID: 26730047)
      J Clin Anesth. 2018 Nov;50:20-21. (PMID: 29940469)
      J Surg Res. 2014 May 1;188(1):152-61. (PMID: 24433869)
      Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1S):S7-S10. (PMID: 29361440)
      Int J Surg. 2016 Apr;28 Suppl 1:S54-8. (PMID: 26708857)
      BMC Anesthesiol. 2022 Jul 13;22(1):220. (PMID: 35831790)
      J Patient Saf. 2022 Apr 1;18(3):171-176. (PMID: 34325465)
      Medicina (Kaunas). 2022 Mar 30;58(4):. (PMID: 35454334)
      Otolaryngol Head Neck Surg. 2022 Feb;166(2):233-248. (PMID: 34000898)
    • Contributed Indexing:
      Keywords: Advers events; NIM-EMG-ETT; Thyroid and parathyroid surgery
    • الموضوع:
      Date Created: 20240725 Date Completed: 20240725 Latest Revision: 20250122
    • الموضوع:
      20250122
    • الرقم المعرف:
      PMC11270778
    • الرقم المعرف:
      10.1186/s12871-024-02643-1
    • الرقم المعرف:
      39054431