Precision Neuromuscular Block Management for Neural Monitoring During Thyroid Surgery

Introduction Titration of neuromuscular block (NMB) plays a key role in intraoperative recurrent laryngeal nerve monitoring during thyroid surgery. The combination of neuromuscular blocking agent and timely partial reversal of NMB was investigated in both animal experiments and clinical neuro-monito...

Full description

Bibliographic Details
Published in:	Journal of Investigative Surgery
Main Authors:	I-Cheng Lu, Sheng-Hua Wu, Pi-Ying Chang, Pi-Yang Ho, Tzu-Yen Huang, Yi-Chu Lin, Dipti Kamani, Gregory W. Randolph, Gianlorenzo Dionigi, Feng-Yu Chiang, Che-Wei Wu
Format:	Article
Language:	English
Published:	Taylor & Francis Group 2021-11-01
Subjects:	thyroid surgery intraoperative neural monitoring (ionm) recurrent laryngeal nerve (rln) neuromuscular blocking agent (nmba) sugammadex anesthesia
Online Access:	http://dx.doi.org/10.1080/08941939.2020.1805055

Similar Items

A comparison between cisatracurium and rocuronium-induced neuromuscular block on laryngeal electromyography recovery after neostigmine reversal in a porcine model
by: I-Cheng Lu, et al.
Published: (2022-08-01)

Neuromuscular Blockade Antagonism for Thyroid Surgery During Intraoperative Neural Monitoring—An Anesthesia Perspective
by: I-Cheng Lu, et al.
Published: (2025-02-01)

Intraoperative EMG recovery patterns and outcomes after RLN traction-related amplitude decrease during monitored thyroidectomy
by: Kuan-Lin Chiu, et al.
Published: (2022-08-01)

Comparison of EMG amplitudes recorded by ipsilateral and contralateral electrodes placement during using trans-thyroid cartilage recording method in thyroid surgery
by: Feng-Yu Chiang, et al.
Published: (2024-01-01)

Safety Parameters of Quantum Molecular Resonance Devices During Thyroid Surgery: Porcine Model Using Continuous Neuromonitoring
by: Hsin-Yi Tseng, et al.
Published: (2022-06-01)

Optimization of electromyographic endotracheal tube electrode position by UEScope for monitored thyroidectomy
by: Jui‐Mei Huang, et al.
Published: (2021-10-01)

A study on the appropriate dose of rocuronium for intraoperative neuromonitoring in Da Vinci robot thyroid surgery: a randomized, double-blind, controlled trial
by: Jianning Lan, et al.
Published: (2023-09-01)

Intraoperative Monitoring of External Branch of the Superior Laryngeal Nerve: Functional Identification, Motor Integrity, and its Role on Vocal Cord Function
by: Emin Gurleyik, et al.
Published: (2018-11-01)

Recurrent laryngeal never monitoring versus non-monitoring in parathyroid surgery
by: Yongliang Mu, et al.
Published: (2023-11-01)

Recurrent laryngeal nerve’s course running anteriorly to a thyroid tumor
by: Minoru Kihara, et al.
Published: (2023-07-01)

Neuromuscular monitoring and incidence of postoperative residual neuromuscular blockade: a prospective observational study
by: Alessandra Piersanti, et al.
Published: (2025-01-01)

A prospective observational study on the anatomical variations of recurrent laryngeal nerve and its application in the prevention of injury during thyroid surgery in a tertiary care centre
by: Vitthal Dada Kale, et al.
Published: (2024-10-01)

The relationship between the sugammadex use and postoperative reintubation in the absence of neuromuscular monitoring
by: Chung-Yi Wu, et al.
Published: (2022-01-01)

Impact on grafted kidney function of rocuronium-sugammadex vs cisatracurium-neostigmine strategy for neuromuscular block management. An Italian single-center, 2014-2017 retrospective cohort case-control study
by: M. Carron, et al.
Published: (2022-01-01)

The effect of dexmedetomidine vs. atracurium on intubation condition in children - a randomized clinical trial
by: Mohammad Alipour, et al.
Published: (2025-01-01)

Division for Endocrine and Minimally Invasive Surgery Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina
by: Ettore Caruso, et al.
Published: (2018-12-01)

The impact of intraoperative “Nerve Monitoring” in a tertiary referral center for thyroid and parathyroid surgery
by: Pietro Princi, et al.
Published: (2022-08-01)

Neuromuscular monitoring of a patient with Charcot-Marie-Tooth disease; which monitoring technique is adequate? - A case report and literature review -
by: Seung Un Kim, et al.
Published: (2024-01-01)

Effect of Different Doses of Sugammadex on Recovery and Hemodynamic Parameters in Reversing Neuromuscular Blockade in Patients Undergoing Electroconvulsive Therapy
by: Kadir ARSLAN, et al.
Published: (2024-03-01)

Incidence and risk factors for recurrent laryngeal nerve injury after thyroid surgery
by: Hadi Al-Hakami, et al.
Published: (2024-08-01)

Optimization of Intraoperative Neural Monitoring of the Recurrent Laryngeal Nerve in Thyroid Surgery
by: Chia-Yuan Hsieh, et al.
Published: (2022-03-01)

From revival to routine: electromyography-based neuromuscular monitoring in contemporary anesthesia practice
by: Chang-Hoon Koo
Published: (2025-07-01)

Neuromuscular blockade management for intraoperative neural monitoring
by: I‐Cheng Lu, et al.
Published: (2020-04-01)

New way of dosing sugammadex for termination of vecuronium induced neuromuscular block
by: Blaž Peček, et al.
Published: (2015-06-01)

Comparison of the Effects of Sugammadex Recommended Dose (2 mg/kg) and Fixed Dose of 200 mg on the Reversal of Moderate Neuromuscular Block and Recovery Profile in Adult Patients
by: Ji-Yoon Jung, et al.
Published: (2025-01-01)

Response to the Letter to the Editor Regarding Our Research Article on 'Effect of Different Doses of Sugammadex on Recovery and Hemodynamic Parameters in Reversing Neuromuscular Blockade in Patients Undergoing Electroconvulsive Therapy'
by: Kadir ARSLAN, et al.
Published: (2025-03-01)

The combination of sugammadex and neostigmine can reduce the dosage of sugammadex during recovery from the moderate neuromuscular blockade
by: Soon Ho Cheong, et al.
Published: (2015-12-01)

Deep Neuromuscular Blockade During General Anesthesia: Advantages, Challenges, and Future Directions
by: Jacob Rosenberg, et al.
Published: (2025-03-01)

A clinical study on microwave ablation of T1N0M0 papillary thyroid carcinoma locating in dangerous region
by: Hui-di Zhou, et al.
Published: (2025-02-01)

Relationship between first-twitch depression and train-of-four ratio during sugammadex reversal of rocuronium-induced neuromuscular blockade
by: Kyo Sang Kim, et al.
Published: (2016-06-01)

Impact of Neostigmine and Sugammadex on Time to Leaving the Operating Room in a Community Hospital
by: Julie John, et al.
Published: (2020-08-01)

The “Hand as Foot” teaching method for the non-recurrent laryngeal nerve in thyroid anatomy
by: Boyan Fu, et al.
Published: (2022-11-01)

Chronic exposure to dexamethasone may not affect sugammadex reversal of rocuronium-induced neuromuscular blockade: an in vivo study on rats
by: Ha Yeon Park, et al.
Published: (2023-07-01)

An appraisal of neostigmine versus sugammadex for neuromuscular blockade reversal in patients with a prior heart transplant
by: Stephania Paredes, et al.
Published: (2023-03-01)

Effects of hydrocortisone-presensitized sugammadex on recovery from neuromuscular blockade induced by rocuronium: a rodent in vivo study
by: Hey-Ran Choi, et al.
Published: (2022-04-01)

Intraoperative Monitoring of Neuromuscular Blockade
by: Cyrus Motamed
Published: (2023-05-01)

Approach to signal loss in intraoperative nerve monitoring in thyroid surgery questionnaire: a Turkish surgical perspective
by: Yalin Iscan, et al.
Published: (2025-04-01)

Failure of reversion of neuromuscular block with sugammadex in patient with myasthenia gravis: case report and brief review of literature
by: Hermann dos Santos Fernandes, et al.
Published: (2019-08-01)

Analysis of characteristics of patients whose sugammadex claims were denied by the Auto Insurance Claims Review Department of Korean Health Insurance Review & Assessment Service: a retrospective single-center review
by: Hwa Song Jong, et al.
Published: (2025-04-01)

Correspondence on Effect of Different Doses of Sugammadex on Recovery and Hemodynamic Parameters in Reversing Neuromuscular Blockade in Patients Undergoing Electroconvulsive Therapy
by: Ahmet Rıdvan DOGAN
Published: (2025-03-01)