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Usefulness of video laryngoscopy in tracheal intubation at thyroid surgical position for intraoperative neuromonitoring
DC Field | Value | Language |
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dc.contributor.author | 이지원 | - |
dc.date.accessioned | 2024-04-18T08:12:18Z | - |
dc.date.available | 2024-04-18T08:12:18Z | - |
dc.date.issued | 2024-02 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/198865 | - |
dc.description.abstract | This observational study aimed to compare the glottic view between video and direct laryngoscopy for tracheal intubation in the surgical position for thyroid surgery with intraoperative neuromonitoring. Patients scheduled for elective thyroid surgery with intraoperative neuromonitoring were enrolled. After the induction of anesthesia, patients were positioned in the thyroid surgical posture with a standard inclined pillow under their head and back. An investigator assessed the glottic view using the percentage of glottic opening (POGO) scale and the modified Cormack-Lehane grade in direct laryngoscopy and then video laryngoscopy sequentially while using the same McGRATH™ MAC video laryngoscope at once, with or without external laryngeal manipulation, at the surgical position. A total of thirty-nine patients were participated in this study. Without external laryngeal manipulation, the POGO scale significantly improved during video laryngoscopy compared to direct laryngoscopy in the thyroid surgical position (60.0 ± 38.2% vs. 22.4 ± 23.8%; mean difference (MD) 37.6%, 95% confidence interval (CI) = [29.1, 46.0], P < 0.001). Additionally, with external laryngeal manipulation, the POGO scale showed a significant improvement during video laryngoscopy compared to direct laryngoscopy (84.6 ± 22.9% vs. 58.0 ± 36.3%; MD 26.7%, 95% CI = [18.4, 35.0] (P < 0.001). The superiority of video laryngoscopy was also observed for the modified Cormack-Lehane grade. In conclusion, video laryngoscopy with the McGRATH™ MAC video laryngoscope, when compared to direct laryngoscopy with it, improved the glottic view during tracheal intubation in the thyroid surgical position. This enhancement may potentially facilitate the proper placement of the electromyography tracheal tube and prevent tube displacement due to positional change for thyroid surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Nature Publishing Group | - |
dc.relation.isPartOf | SCIENTIFIC REPORTS | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intubation, Intratracheal | - |
dc.subject.MESH | Laryngoscopes* | - |
dc.subject.MESH | Laryngoscopy | - |
dc.subject.MESH | Larynx* | - |
dc.subject.MESH | Thyroid Gland / surgery | - |
dc.subject.MESH | Video Recording | - |
dc.subject.MESH | Related informati | - |
dc.title | Usefulness of video laryngoscopy in tracheal intubation at thyroid surgical position for intraoperative neuromonitoring | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Dongwook Won | - |
dc.contributor.googleauthor | Jung-Man Lee | - |
dc.contributor.googleauthor | Jiwon Lee | - |
dc.contributor.googleauthor | Young Jun Chai | - |
dc.contributor.googleauthor | Jin-Young Hwang | - |
dc.contributor.googleauthor | Tae Kyong Kim | - |
dc.contributor.googleauthor | Jee-Eun Chang | - |
dc.contributor.googleauthor | Hyerim Kim | - |
dc.contributor.googleauthor | Min Jong Kim | - |
dc.contributor.googleauthor | Seong-Won Min | - |
dc.identifier.doi | 10.1038/s41598-024-55537-0 | - |
dc.contributor.localId | A06070 | - |
dc.relation.journalcode | J02646 | - |
dc.identifier.eissn | 2045-2322 | - |
dc.identifier.pmid | 38424153 | - |
dc.subject.keyword | Neural monitoring | - |
dc.subject.keyword | Recurrent laryngeal nerve | - |
dc.subject.keyword | Thyroid surgery | - |
dc.subject.keyword | Vocal cord paralysis | - |
dc.contributor.alternativeName | Lee, Jiwon | - |
dc.contributor.affiliatedAuthor | 이지원 | - |
dc.citation.volume | 14 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 4980 | - |
dc.identifier.bibliographicCitation | SCIENTIFIC REPORTS, Vol.14(1) : 4980, 2024-02 | - |
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