{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T17:07:28Z","timestamp":1780938448621,"version":"3.54.1"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T00:00:00Z","timestamp":1490572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T00:00:00Z","timestamp":1490572800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The use of neuromuscular blocking agents may affect intraoperative neuromonitoring during thyroid surgery. A selective neuromuscular recovery protocol was evaluated in a retrospective cohort study during human thyroid neural monitoring surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and twenty\u2010five consecutive patients undergoing thyroidectomy with intraoperative neuromonitoring followed a selective neuromuscular block recovery protocol\u2014single intubating dose of rocuronium followed by sugammadex if needed at the first vagal stimulation (V1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 120 of 125 patients could be analysed. Fifteen (12.5%) patients needed sugammadex reversal to obtain an EMG response at the first vagal stimulation (V1). In the remaining 105 patients, spontaneous recovery of rocuronium\u2010induced neuromuscular block was sufficient for a successful first vagal stimulation (V1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients undergoing thyroid surgery, routine reversal of rocuronium block with sugammadex is not mandatory for reliable intraoperative neuromonitoring. A selective neuromuscular block recovery approach may be a valuable and more cost\u2010efficient alternative to routine reversal.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4004-9","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T20:47:33Z","timestamp":1490647653000},"page":"2298-2303","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Recurrent Laryngeal Nerve Monitoring and Rocuronium: A Selective Sugammadex Reversal Protocol"],"prefix":"10.1002","volume":"41","author":[{"given":"Ombeline","family":"Empis de Vendin","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine CHRU de Nancy Vandoeuvre\u2010l\u00e8s\u2010Nancy France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 de Lorraine Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Schmartz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine CHRU de Nancy Vandoeuvre\u2010l\u00e8s\u2010Nancy France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 de Lorraine Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Brunaud","sequence":"additional","affiliation":[{"name":"Department of Digestive, Hepato\u2010Biliary and Endocrine Surgery CHRU de Nancy Vandoeuvre\u2010l\u00e8s\u2010Nancy France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 de Lorraine Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Fuchs\u2010Buder","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine CHRU de Nancy Vandoeuvre\u2010l\u00e8s\u2010Nancy France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 de Lorraine Vandoeuvre\u2010l\u00e8s\u2010Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,27]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem147"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei110"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010008\u20109483\u20102"},{"key":"e_1_2_9_5_2","first-page":"19","article-title":"Loss of signal in recurrent nerve neuromonitoring: causes and management","volume":"4","author":"Wu C\u2010W","year":"2015","journal-title":"Gland Surg"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25577"},{"key":"e_1_2_9_7_2","doi-asserted-by":"crossref","unstructured":"BrunaudL Fuchs\u2010BuderTIn response to Reversal of rocuronium\u2010induced neuromuscular 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