Changes in electromyographic amplitudes but not latencies occur with endotracheal tube malpositioning during intraoperative monitoring for thyroid surgery: Implications for guidelines

• Published in: The Laryngoscope Vol. 127; no. 9; p. 2182
• Main Authors: Barber, Samuel R, Liddy, Whitney, Kyriazidis, Natalia, Cinquepalmi, Matteo, Lin, Brian M, Modi, Rahul, Patricio, Stephanie, Kamani, Dipti, Belotti, Carlo, Mahamad, Sadhana, Lawson, Bradley, Randolph, Gregory W
• Format: Journal Article
• Language: English
• Published: United States 01.09.2017
• Subjects: Adult; Aged; Electromyography - methods; Electrophysiological Phenomena; Female; Foreign-Body Migration - etiology; Foreign-Body Migration - physiopathology; Humans; Intraoperative Neurophysiological Monitoring - methods; Intubation, Intratracheal - adverse effects; Intubation, Intratracheal - instrumentation; Intubation, Intratracheal - methods; Male; Middle Aged; Parathyroid Glands - surgery; Reaction Time; Recurrent Laryngeal Nerve - physiopathology; Recurrent Laryngeal Nerve - surgery; Retrospective Studies; Thyroid Gland - surgery; Young Adult; Thyroid and parathyroid surgery; amplitude change; combined event; recurrent laryngeal nerve; electromyography; intraoperative neural monitoring

During intraoperative neural monitoring (IONM) in thyroid and parathyroid surgery, endotracheal (ET) tube migration can result in a decrease in vocalis electromyographic (EMG) amplitude without a concordant latency elevation during stimulation of the recurrent laryngeal nerve (RLN). Retrospective re...