Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
Lidocaine in thyroid and parathyroid surgery with intraoperative emg-monitoring — to use or to forbid? / Kulikov, A. Yu; Makarin, V. A.; Kuleshov, O. V.; Alekseev, M. A.; Efremov, S. M.; Chernikov, R. A.; Fedotov, Yu N.
в: Russian Journal of Anesthesiology and Reanimatology /Anesteziologiya i Reanimatologiya, Том 2022, № 3, 2022, стр. 40-45.Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование
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TY - JOUR
T1 - Lidocaine in thyroid and parathyroid surgery with intraoperative emg-monitoring — to use or to forbid?
AU - Kulikov, A. Yu
AU - Makarin, V. A.
AU - Kuleshov, O. V.
AU - Alekseev, M. A.
AU - Efremov, S. M.
AU - Chernikov, R. A.
AU - Fedotov, Yu N.
N1 - Publisher Copyright: © 2022, Media Sphera Publishing Group. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Electromyographic neuromonitoring (EMG-NM) is a widespread approach in thyroid and parathyroid surgery. Intact laryngotra-cheal reflexes without neuromuscular block present a clinical problem. A prospective study involved 56 patients who underwent EMG-NM-assisted elective thyroid and parathyroid surgery under general anesthesia. Patients were randomized into 2 groups. In one group, we used special anti-reflexive endotracheal tubes and injected lidocaine into the area between the cuff and tracheal mucosa. We analyzed the possibility of EMG-NM, need for opioids and clinical manifestations of laryngotracheal reflexes. Lido-caine injection did not significantly affect myographic parameters of recurrent laryngeal nerve (1.81±0.82 vs 2.05±0.63, p=0.25). Differences in laryngotracheal reflexes (2 vs 5, p=0.42) and total fentanyl consumption were not significant. The final role of lido-caine in EMG-NM-assisted thyroid and parathyroid surgery requires further researches.
AB - Electromyographic neuromonitoring (EMG-NM) is a widespread approach in thyroid and parathyroid surgery. Intact laryngotra-cheal reflexes without neuromuscular block present a clinical problem. A prospective study involved 56 patients who underwent EMG-NM-assisted elective thyroid and parathyroid surgery under general anesthesia. Patients were randomized into 2 groups. In one group, we used special anti-reflexive endotracheal tubes and injected lidocaine into the area between the cuff and tracheal mucosa. We analyzed the possibility of EMG-NM, need for opioids and clinical manifestations of laryngotracheal reflexes. Lido-caine injection did not significantly affect myographic parameters of recurrent laryngeal nerve (1.81±0.82 vs 2.05±0.63, p=0.25). Differences in laryngotracheal reflexes (2 vs 5, p=0.42) and total fentanyl consumption were not significant. The final role of lido-caine in EMG-NM-assisted thyroid and parathyroid surgery requires further researches.
KW - anti-reflexive endotracheal tube
KW - intraoperative neuromonitoring
KW - lidocaine
KW - parathyroid surgery
KW - thyroid surgery
UR - http://www.scopus.com/inward/record.url?scp=85133862754&partnerID=8YFLogxK
U2 - 10.17116/anaesthesiology202203140
DO - 10.17116/anaesthesiology202203140
M3 - Article
AN - SCOPUS:85133862754
VL - 2022
SP - 40
EP - 45
JO - Russian Journal of Anesthesiology and Reanimatology /Anesteziologiya i Reanimatologiya
JF - Russian Journal of Anesthesiology and Reanimatology /Anesteziologiya i Reanimatologiya
SN - 0201-7563
IS - 3
ER -
ID: 98504418