Investigation of potential neuropharmacological activity of neostigmine-glycopyrrolate for intraoperative neural monitoring in thyroid surgery
DC Field | Value | Language |
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dc.contributor.author | Oh, Moon Young | - |
dc.contributor.author | Lee, Jung-Man | - |
dc.contributor.author | Won, Dongwook | - |
dc.contributor.author | Huang, Tzu-Yen | - |
dc.contributor.author | Wu, Che-Wei | - |
dc.contributor.author | Dionigi, Gianlorenzo | - |
dc.contributor.author | Kim, Hoon Yub | - |
dc.contributor.author | Seo, Miyeon | - |
dc.contributor.author | Choi, Hyun Suk | - |
dc.contributor.author | Chai, Young Jun | - |
dc.date.accessioned | 2022-03-14T12:42:00Z | - |
dc.date.available | 2022-03-14T12:42:00Z | - |
dc.date.created | 2022-03-14 | - |
dc.date.issued | 2022-01 | - |
dc.identifier.issn | 1607-551X | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/138948 | - |
dc.description.abstract | Intraoperative neuromonitoring (IONM) is frequently used in thyroid surgery to reduce recurrent laryngeal nerve injury. The use of neuromuscular blockade agent to facilitate tracheal intubation, is a common cause of IONM failure. We performed a retrospective analysis to assess the efficacy of neostigmine-glycopyrrolate as a neuromuscular blockade reversal agent for IONM during thyroid surgery. Rocuronium (0.6 mg/kg) was administered for muscle relaxation. Neostigmine (2 mg) and glycopyrrolate (0.4 mg) were administered immediately after intubation. Cricothyroid muscle-twitch response upon external branch of superior laryngeal nerve stimulation and electromyography amplitudes of vagal and recurrent laryngeal nerves before (V1, R1) and after thyroid resection (V2, R2) were recorded. Fifty patients (23 males, 27 females) were included in the analysis. The diagnoses comprised 43 papillary thyroid carcinomas and seven benign diseases. The mean time between rocuronium injection and neostigmine-glycopyrrolate injection was 5.1 +/- 1.2 min, and the mean time from neostigmine-glycopyrrolate injection to successful cricothyroid muscle twitching upon external branch of superior laryngeal nerve stimulation was 21.0 +/- 4.5 min. All patients had V1 and R1 amplitudes of more than 500 mu V each, with mean V1 and R1 amplitudes of 985.3 +/- 471.6 mu V and 1177.2 +/- 572.7 mu V, respectively. Neostigmine-glycopyrrolate was effectively used as a neuromuscular blockade reversal agent for IONM in thyroid surgeries without a significant increase in bucking events. Administration of neostigmine-glycopyrrolate immediately after intubation can be recommended for successful NMB reversal to facilitate IONM during thyroid surgery. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.subject | RECURRENT LARYNGEAL NERVE | - |
dc.subject | NEUROMUSCULAR BLOCK | - |
dc.subject | EXTERNAL BRANCH | - |
dc.subject | REVERSAL | - |
dc.subject | SUGAMMADEX | - |
dc.subject | ROCURONIUM | - |
dc.subject | IDENTIFICATION | - |
dc.subject | DIAPHRAGM | - |
dc.title | Investigation of potential neuropharmacological activity of neostigmine-glycopyrrolate for intraoperative neural monitoring in thyroid surgery | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Hoon Yub | - |
dc.identifier.doi | 10.1002/kjm2.12448 | - |
dc.identifier.scopusid | 2-s2.0-85115608370 | - |
dc.identifier.wosid | 000698981400001 | - |
dc.identifier.bibliographicCitation | KAOHSIUNG JOURNAL OF MEDICAL SCIENCES, v.38, no.1, pp.59 - 64 | - |
dc.relation.isPartOf | KAOHSIUNG JOURNAL OF MEDICAL SCIENCES | - |
dc.citation.title | KAOHSIUNG JOURNAL OF MEDICAL SCIENCES | - |
dc.citation.volume | 38 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 59 | - |
dc.citation.endPage | 64 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Research & Experimental Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, Research & Experimental | - |
dc.subject.keywordPlus | RECURRENT LARYNGEAL NERVE | - |
dc.subject.keywordPlus | NEUROMUSCULAR BLOCK | - |
dc.subject.keywordPlus | EXTERNAL BRANCH | - |
dc.subject.keywordPlus | REVERSAL | - |
dc.subject.keywordPlus | SUGAMMADEX | - |
dc.subject.keywordPlus | ROCURONIUM | - |
dc.subject.keywordPlus | IDENTIFICATION | - |
dc.subject.keywordPlus | DIAPHRAGM | - |
dc.subject.keywordAuthor | glycopyrrolate | - |
dc.subject.keywordAuthor | neostigmine | - |
dc.subject.keywordAuthor | neuromuscular blockade | - |
dc.subject.keywordAuthor | neuromuscular monitoring | - |
dc.subject.keywordAuthor | thyroidectomy | - |
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