Professional paper
An Unusual Cause of Recurrent Laryngeal Nerve Monitoring Failure during Parathyroidectomy
TOBY N. WEINGARTEN
; Assistant Professor of Anesthesiology From the Department of Anesthesiology and Department of Surgery College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905
KATARINA BOJANIĆ
; Resident in Pediatrics (Research Trainee at Mayo Clinic)
AMANDA R. MORASKA
; Mayo Clinic Medical Student
JURAJ SPRUNG
; Professor of Anesthesiology
GEOFFREY B. THOMPSON
; Professor of Surgery
Abstract
Intraoperative monitoring of the recurrent laryngeal nerve (RLN) during surgical dissection allows for real time identification and assessment of nerve function integrity. Since neuromuscular blockade interferes with electromyography, long-acting muscle relaxants cannot be used during anesthesia. We report a patient in whom monitoring of the RLN was unsuccessful because of prolonged muscle paralysis following the administration of succinylcholine, presumably due to a pseudocholinesterase deficiency.
Keywords
laryngeal nerve monitoring; muscle paralysis; pseudocholinesterase deficiency
Hrčak ID:
73173
URI
Publication date:
1.10.2011.
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