ArticleLaryngoscope investigative otolaryngology2021
Optimization of electromyographic endotracheal tube electrode position by UEScope for monitored thyroidectomy.
Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Tracheal intubation in the thyroid surgical position improves recurrent laryngeal nerve monitoring: a dual-center randomized trial.International journal of surgery (London, England) · 2026Trial
- Video laryngeal mask-guided placement of electromyographic endotracheal tubes for intraoperative neuromonitoring during thyroidectomy: a simulator-based feasibility report.Korean journal of anesthesiology · 2026Article
- Usefulness of video laryngoscopy in tracheal intubation at thyroid surgical position for intraoperative neuromonitoring.Scientific reports · 2024Observational
- Optimization of Intraoperative Neural Monitoring of the Recurrent Laryngeal Nerve in Thyroid Surgery.Medicina (Kaunas, Lithuania) · 2022Review
- A Surgeon-Centered Neuromuscular Block Protocol Improving Intraoperative Neuromonitoring Outcome of Thyroid Surgery.Frontiers in endocrinology · 2022Observational
- Optimization of electromyographic endotracheal tube electrode position by UEScope for monitored thyroidectomy.Laryngoscope investigative otolaryngology · 2021Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveProper position of an electromyographic (EMG) endotracheal tube within the larynx plays a key role in functional electrophysiologic intraoperative neural monitoring (IONM) in thyroid surgery. The purpose of this study was to determine the feasibility of a portable video-assisted intubation device (UEScope) to verify the optimal placement of an EMG tube.
methodsA retrospective study enrolled 40 consecutive patients who underwent monitored thyroidectomies. After positioning the patient for surgery, an anesthesiologist performed tracheal intubation with UEScope and checked the position of the tube at the proper depth without rotation to the vocal cords. The main outcome measured was the proper EMG tube position, free from further adjustment. The secondary outcomes assessed were the percentage of available initial vagal stimulation (V1) signals.
resultsAll tracheal intubations were successful at first attempt. Proper EMG tube placement without position adjustment was found in 97.5% of the patients. Tube withdrawal was required in a male patient. All patients obtained detectable V1 signals; the lowest and median V1 amplitude was 485 and 767 μV as a reference value, respectively.
conclusionThe UEScope is a valuable and reliable tool for placing an EMG tube and confirming its position during monitored thyroidectomy. In addition, further tube adjustment might be waived in most cases when the anesthesiologist placed the EMG tube after patient positioning for surgery. Routine use of video-assisted intubation devices is highly recommended. LEVEL OF EVIDENCE: 4.
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