alexa Anesthesia Management of Total Thyroidectomy Using a NIM EMG Endotracheal Tube: A Case Report
ISSN: 2329-9126

Journal of General Practice
Open Access

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Case Report

Anesthesia Management of Total Thyroidectomy Using a NIM EMG Endotracheal Tube: A Case Report

Toi Nei Chan*

Texas Christian University School of Nurse Anesthesia, USA

*Corresponding Author:
Toi Nei Chan
Texas Christian University School of Nurse Anesthesia, USA
E-mail: [email protected]

Received date: April 07, 2016; Accessed date: April 27, 2016; Published date: April 29, 2016

Citation: Chan TN (2016) Anesthesia Management of Total Thyroidectomy Using a NIM EMG Endotracheal Tube: A Case Report. J Gen Practice 4:248. doi:10.4172/2329-9126.1000248

Copyright: © 2016 Chan TN. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Total thyroidectomy is not routinely performed for indications other than malignancy until the last quarter of the twentieth century. Despite significant advancement in surgical techniques of total thyroidectomy developed by Theodore Kocher and William Halsted, significant risks including damage to the recurrent laryngeal nerve, hematoma, and thyroid storm are still important considerations when weighing against surgical benefits. Currently the use of neural integrity monitor (NIM) electromyogram (EMG) tracheal tube has become increasingly popular among surgeons to reduce risks of damage to the recurrent laryngeal nerves. The purpose of this case report is to discuss anesthetic management in a 48-year-old female patient undergoing total thyroidectomy using a NIM endotracheal tube (Medtronic Xomed, Jacksonville, Florida).

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