Detection of evolving injury to the brachial plexus during transaxillary robotic thyroidectomy

Continuous intraoperative neuromonitoring (IONM) of transcranial electric motor evoked potentials (tceMEPs) and somatosensory evoked potentials (SSEPs) has gained universal acceptance as an efficacious method for detecting emerging positional brachial plexopathy or peripheral nerve compression during spinal and shoulder surgery. This has implications for transaxillary thyroid surgery.

[1]  Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies: An Updated Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies , 2011, Anesthesiology.

[2]  Woong Youn Chung,et al.  Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. , 2009, Surgery.

[3]  S. Burch,et al.  Relative Efficacy of Transcranial Motor Evoked Potentials, Mechanically-Elicited Electromyography, and Evoked EMG to Assess Nerve Root Function During Sustained Retraction in a Porcine Model , 2009, Spine.

[4]  Vidya M. Bhalodia,et al.  Transcranial electric motor evoked potential detection of compressional peroneal nerve injury in the lateral decubitus position , 2008, Journal of Clinical Monitoring and Computing.

[5]  A. Sestokas,et al.  Neurophysiological Identification of Position-Induced Neurologic Injury During Anterior Cervical Spine Surgery , 2006, Journal of Clinical Monitoring and Computing.

[6]  P. Zaneteas.  Brachial plexus injuries and the electrodiagnostic examination. , 2003, Current sports medicine reports.

[7]  D. M. Schwartz,et al.  Prevention of positional brachial plexopathy during surgical correction of scoliosis. , 2000, Journal of spinal disorders.

[8]  J. Butterworth,et al.  Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies: A Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies , 2000, Anesthesiology.

[9]  P. Gruen.  Evaluation and Surgical Management of Peripheral Nerve Problems , 1999 .

[10]  R Goodkin,et al.  Evaluation and surgical management of peripheral nerve problems. , 1999, Neurosurgery.

[11]  J. Mark,et al.  Intraoperative Somatosensory Evoked Potential Monitoring Predicts Peripheral Nerve Injury during Cardiac Surgery , 1993, Anesthesiology.