To prevent potential damage to nerves Intraoperative Nerve Monitoring (IONM) is used as the nerves around the thyroid glands are sensitive and control the movement of vocal cords. If not careful, paralysis of permanent nature can occur. Therefore, interventional guidelines by NICE has been documented for the clinicians as reference. The guideline is documented under the title ‘Intraoperative Nerve Monitoring During Thyroid Surgery.’ The guideline points are summarised below: Clinical Arrangements: The surgeons find IONM efficient in complex or reoperative surgeries.
To undertake this procedure, all the clinical arrangements are to be made which include consent, audit and clinical governance. Indications for treatment: If the patient is undergoing treatment for thyroid enlargement, thyrotoxicosis or malignancy, then removal of part and all of thyroid gland is determined. Normally, the…
