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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

940
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Related Experiment Video

Updated: Sep 20, 2025

Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
08:16

Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model

Published on: February 11, 2019

21.5K

Optimal Monitoring Technology for Pediatric Thyroidectomy.

Daqi Zhang1, Hui Sun1, Hoon Yub Kim2

  • 1Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Changchun 130033, China.

Cancers
|June 10, 2022
PubMed
Summary

Intraoperative neural monitoring in pediatric thyroid surgery showed a low rate of transient recurrent laryngeal nerve injuries. This study highlights the safety and effectiveness of these techniques in young patients.

Keywords:
childrenendotracheal tube electrodeintraoperative neural monitoringpediatric patientsrecurrent laryngeal nervesurgical techniquethyroid surgerytranscartilage recording electrodes

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Neurosurgery

Background:

  • Intraoperative neural monitoring (INM) is crucial for preserving nerve function during thyroid surgery.
  • Data on INM in pediatric populations is limited, necessitating further investigation.

Purpose of the Study:

  • To characterize INM use and outcomes in pediatric patients undergoing thyroid surgery.
  • To determine the rate of recurrent laryngeal nerve (RLN) complications in this demographic.

Main Methods:

  • Retrospective analysis of 37 pediatric patients (<18 years) undergoing open thyroid surgery between 2015-2021.
  • Inclusion of various thyroidectomy types (total, lobectomy) and lymph node dissections.
  • Assessment of electromyographic profiles and RLN complication rates.

Main Results:

  • No significant difference in electromyographic profiles between different monitoring devices.
  • Five out of 61 (8.2%) at-risk nerves experienced transient RLN injury with signal loss.
  • All injuries resolved within 4 months, indicating temporary nerve dysfunction.

Conclusions:

  • INM is feasible and safe in pediatric thyroid surgery, with a low incidence of transient RLN injuries.
  • Both adhesive and embedded endotracheal tubes are effective; more invasive methods may be needed for very young children.
  • This study represents the first report on INM management in Italian pediatric patients.