An Unusual Cause of Recurrent Laryngeal Nerve Monitoring Failure during Parathyroidectomy

Intraoperative monitoring of the recurrent laryngeal nerve (RLN) during surgical dissection allows for real time identification and assessment of nerve function integrity. Since neuromuscular blockade interferes with electromyography, long-acting muscle relaxants cannot be used during anesthesia. We...

Full description

Saved in:
Bibliographic Details
Published inSigna vitae Vol. 6; no. 2; p. 86
Main Authors THOMPSON, GEOFFREY B, MORASKA, AMANDA R, SPRUNG, JURAJ, BOJANIĆ, KATARINA, WEINGARTEN, TOBY N
Format Paper
LanguageEnglish
Published Pharmamed Mado Ltd 01.10.2011
Subjects
laryngeal nerve monitoring
muscle paralysis
pseudocholinesterase deficiency
Online AccessGet full text

Cover

More Information
Summary:Intraoperative monitoring of the recurrent laryngeal nerve (RLN) during surgical dissection allows for real time identification and assessment of nerve function integrity. Since neuromuscular blockade interferes with electromyography, long-acting muscle relaxants cannot be used during anesthesia. We report a patient in whom monitoring of the RLN was unsuccessful because of prolonged muscle paralysis following the administration of succinylcholine, presumably due to a pseudocholinesterase deficiency.
Bibliography:73173
ISSN:1334-5605
1845-206X