Anti-thyroid anaesthesia protection for larynx neurological function

Thyroid surgery is common in the neck, but larynx-to-neurological damage is one of the more serious complications. Anesthesia not only guarantees the patient ‘ s pain-free and smooth operation during thyroid surgery, but also plays an important role in protecting the larynx back to the nervous function. Appropriate anaesthesia programmes and associated protective measures are essential to reduce larynx-to-neurological damage. Potential effects of anaesthesia on the larynx-back nervous function (i) whole body anaesthesia. For example, the inappropriate use or residual effects of some long-acting myopines may mask early performance of larynx back to neurological damage and influence the timely determination of neurological function after the surgery. At the same time, inhalation of anaesthesia may affect neurotransmission at high concentrations, but this effect is usually small at normal clinical use concentrations. 2. Impact of the operation of the bronchial intubation: the tube intubation is an important part of the overall anesthesia. Intubation may result in larynx, bronchial damage and indirectly affect the anatomical structure and function of the larynx back to the nervous surroundings if the operation is rough, the catheter model is poorly selected or the intubation location is inaccurate. In addition, the continued pressure of the intubation catheters on the pneumatic walls, especially during prolonged operations, may change the position and stress of the larynx back to the nerve. (ii) Cervical neurodetoxin 1. Effects of the spread of local narcotic drugs: Cervical neurodetoxin may spread to the larynx when used for thyroid surgery. If sterilizers are over-concentration or over-utilized, they may have a direct inhibition effect on the larynthetic neurological and affect their normal functioning. However, this effect is usually temporary and, with the metabolism of the drug, functions can be gradually restored. 2. Incompleteness and the effects of the operation: if the neck neurosis is not complete, the patient may experience physical movement in the operation due to pain, making it more difficult for the surgeon to operate, which in turn may lead to accidental damage to the throat of the surgical device. Measures for the protection of the larynx back neurological function in anaesthesia (i) Reasonable selection of anaesthesia and management 1. Measures under anaesthesia: A precise tube intubation: selection of a suitable type of bronchial catheter, movement soft when intubation, ensuring the correct placement of the intubation under assistive equipment such as a visual larynx mirror and avoiding damage to the larynx structure. For patients with expected long operation periods, the use of enhanced catheters could be considered in order to reduce the pressure on the trachea. Reasonable choice of anaesthesia: Avoid, to the extent possible, the use of long-acting myophagus or adequately limit its residual effects until the end of the operation. Rationally adjust the inhalation of anaesthesia in accordance with the procedure, maintain a stable level of anaesthesia and reduce the adverse effects of anaesthesia on neuromuscular function. 2. Measures under anaesthesia: Accurate neurological retardation: neck neurological retardation by experienced anesthesia doctors, and strict control of the concentration and use of impregnated drugs. Ultrasound-led neck neurodeficiency can be used to improve the accuracy of the retardation and to reduce the spread of ecstasy. Auxiliary sedation and monitoring: the appropriate provision of tranquilizers on the basis of the nervous retardation of the neck to keep the patient quiet, but with care to avoid excessive sedation. At the same time, the vital signs and procedures of the patient are closely monitored and the pain and movement caused by the lack of complete delay is addressed in a timely manner. (ii) Application of neural monitoring techniques for monitoring and co-ordination in the operation: Where conditions permit, neurological neurological monitoring techniques such as neurological physiology are used for real-time monitoring of larynx back neurological functions. Anaesthetists need to understand the principles and operating methods of monitoring and work with the surgeon to ensure the accuracy of monitoring. When neurological abnormalities are detected, the surgeon is reminded in a timely manner to adjust the operation. 2. Maintenance of stable operating conditions: maintenance of a stable vital signs during anaesthesia, including blood pressure, heart rate, blood oxygen saturation, etc. Avoiding changes in surgical vision due to fluctuations in blood flow mechanics, which indirectly increases the risk of larynx-to-neurological damage. At the same time, the patient ‘ s position is adjusted to the needs of the operation to ensure the ease of the operation and to reduce the neurological traction of the larynx due to its inappropriate position. The protection of larynthetic neurological function in thyroid surgery is multifaceted and requires a comprehensive approach from pre-operative assessment, the selection and management of anesthesia methods, and the co-operation of surgical monitoring to post-operative treatment. Anaesthetists work closely with surgeons and apply scientific methods and techniques to effectively reduce the incidence of larynx-to-neurological damage in thyroid operations and to ensure the safety of patients and the quality of life after surgery.