肌松药在喉返神经监测甲状腺手术中的应用进展

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Abstract Recurrent laryngeal nerve injury is one of the most serious complications in complex thyroid surgery.The advent of intraoperative neural monitoring effectively reduces the incidence of recurrent laryngeal nerve injury,while it puts forward higher standard for anesthesia practice.The application of neuromuscular blocking agents in general anesthesia is one of the major interference factors in intraoperative neural monitoring.However,there is currently no concensus on standardized medication usage in clinical setting.Clinically,there are several strategies of intraoperative neuromuscular blockade application: relaxant-free in the perioperative phase,Succinylcholine and nondepolarizing neuromuscular blocking agents of different dosage,among which the combination of Rocuronium with Sugammadex Sodium has been proven as a reasonable practice.Applying Sugammadex Sodium at the proper time window with proper dosage is able to minimize the influence of neuromuscular blocking agents in intraoperative neural monitoring thyroid surgery.This review focuses on current literature about the application of neuromuscular blocking agents in thyroid surgeries under neural monitoring of the recurrent laryngeal nerve.

Key words： Thyroid surgery Recurrent laryngeal nerve monitoring Neuromuscular blocking agents Rocuronium Sugammadex Sodium

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	LIU Di YAO
	Yong-hua

Cite this article:

LIU Di YAO,Yong-hua. Application advances of neuromuscular blocking agents in thyroid surgery under recurrent laryngeal nerve monitoring[J]. 中国当代医药, 2021, 28(7): 24-28.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I7/24

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