2018INMSG指南：监测信号丢失的双侧甲状腺手术分期.pdf

The Laryngoscope © 2018 The American Laryngological, Rhinological and Otological Society, Inc. Contemporary Review International Neural Monitoring Study Group Guideline 2018 Part I: Staging Bilateral Thyroid Surgery With Monitoring Loss of Signal Rick Schneider, MD; Gregory W. Randolph, MD, FACS, FACE; Gianlorenzo Dionigi, MD, FACS; Che-Wei Wu, MD, PhD; Marcin Barczynski, MD, PhD, FEBS-ES; Feng-Yu Chiang, MD; Zaid Al-Quaryshi, MD, MPH; Peter Angelos, MD, PhD; Katrin Brauckhoff, MD; Claudio R. Cernea, MD; John Chaplin, MB, ChB FRACS; Jonathan Cheetham, VetMB, PhD, DACVS; Louise Davies, MD, MS; Peter E. Goretzki, MD; Dana Hartl, MD; Dipti Kamani, MD; Emad Kandil, MD, MBA, FACS; Natalia Kyriazidis, MD; Whitney Liddy, MD; Lisa Orloff, MD, FACS; Joseph Scharpf, MD; Jonathan Serpell, MD, FACS, Med; Jennifer J. Shin, MD; Catherine F. Sinclair, MD; Michael C. Singer, MD, FACS; Samuel K. Snyder, MD, FACS; Neil S. Tolley, MD; Sam Van Slycke, MD; Erivelto Volpi, MD; Ian Witterick, MD, FRCSC; Richard J. Wong, MD, FACS; Gayle Woodson, MD; Mark Zafereo, MD, FACS; Henning Dralle, MD, FRCS, FACS, FEBS This publication offers modern, state-of-the-art International Neural Monitoring Study Group (INMSG) guidelines based on a detailed review of the recent monitoring literature. The guidelines outline evidence-based definitions of adverse electrophysio- logic events, especially loss of signal, and their incorporation in surgical strategy. These recommendations are designed to reduce technique variations, enhance the quality of neural monitoring, and assist surgeons in the clinical decision-making pro- cess involved in surgical management of recu