• J Clin Anesth · Aug 2005

    Case Reports

    Laryngeal nerve monitoring during thyroid surgery in pregnancy.

    • Kodali Bhavani Shankar, Mathew Posner, Francis D Moore, and Nollag O'Rourke.
    • Department of Anesthesiology and Perioperative Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. bhavani@painfreebirthing.com
    • J Clin Anesth. 2005 Aug 1;17(5):369-71.

    AbstractA 32-week parturient required partial thyroidectomy for suspicious carcinoma. The surgeon requested laryngeal nerve monitoring to decrease the chances of laryngeal nerve injury during surgery. After rapid-sequence induction of general anesthesia and intubation, a size 3 laryngeal mask airway was inserted posterior to the endotracheal tube and the cuff inflated with 15 mL of air. A fiberoptic bronchoscope inserted through the laryngeal mask airway provided an unhindered view of vocal cords for laryngeal nerve identification and testing during surgery. This combined technique also offered the advantages of a secured airway, as well as positive pressure ventilation in the parturient during thyroid surgery.

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