Continuous vagal IONM prevents recurrent laryngeal nerve paralysis by revealing initial EMG changes of impending neuropraxic injury: a prospective, multicenter study.

@article{Phelan2014ContinuousVI,
  title={Continuous vagal IONM prevents recurrent laryngeal nerve paralysis by revealing initial EMG changes of impending neuropraxic injury: a prospective, multicenter study.},
  author={Patrick E. Phelan and Rick Harlan Schneider and Kerstin Lorenz and Henning 5 Dralle and Dipti V. Kamani and Andre Potenza and Niranjan Sritharan and Jenifer Shin and Gregory W Randolph},
  journal={The Laryngoscope},
  year={2014},
  volume={124 6},
  pages={
          1498-505
        }
}
OBJECTIVES/HYPOTHESIS Existing intraoperative neuromonitoring (IONM) formats stimulate the recurrent laryngeal nerve (RLN) intermittently, exposing it to risk for injury in between stimulations. We report electrophysiologic parameters of continuous vagal monitoring, utilizing a novel real-time IONM format, and relate these parameters to intraoperative surgical maneuvers that delineate nascent adverse but reversible electrophysiologic parameters to prevent nerve injury. These results are… CONTINUE READING
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