Cardiac arrest with vagal stimulation during intraoperative nerve monitoring

Head & Neck
Martin AlmquistFarhad Salem

Abstract

Intraoperative neuromonitoring (IONM) is widely used during thyroid surgery. During both intermittent and continuous IONM stimulation of the vagus nerve is performed. This has previously been reported to be safe. We present our findings based on the case reports of 2 patients. IONM of the recurrent laryngeal nerve (RLN), following the standards of the International Neuromonitoring Study Group, was conducted in 2 patients, one undergoing thyroid surgery and the second parathyroid surgery. In both cases, after dissection and stimulation of the vagus nerve on 1 mAmp, the patients became asystolic. Resuscitation efforts were successful in both patients. These 2 cases demonstrate that stimulation of the vagus nerve during IONM can lead to profound cardiac events. Consideration should be given to these potential complications when utilizing IONM. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2419-E2420, 2016.

Citations

Jan 21, 2016·World Journal of Surgery·David J Terris
Oct 19, 2016·Current Opinion in Oncology·Ho-Sheng Lin, David J Terris
Aug 18, 2017·World Journal of Surgery·Eui-Suk SungByung-Joo Lee
Feb 1, 2018·Head & Neck·Constantine TarabanisHeather A Osborn
Jun 21, 2019·Annals of the Royal College of Surgeons of England·E O GürY Kumkumoglu
Jun 4, 2019·Annals of the Royal College of Surgeons of England·N HamiltonG Mochloulis
Sep 13, 2018·Updates in Surgery·Hui SunGianlorenzo Dionigi
Apr 15, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Serkan KaraisliMehmet Haciyanli
May 18, 2021·A&A Practice·Kathleen J LeeCindy B Yeoh

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