PDF(Pubmed)
Abstract：
In the past decade, the use of intraoperative neural monitoring (IONM) in thyroid and parathyroid surgery has been widely accepted by surgeons as a useful technology for improving laryngeal nerve identification and voice outcomes, facilitating neurophysiological research, educating and training surgeons, and reducing surgical complications and malpractice litigation. Informing patients about IONM is not only good practice and helpful in promoting the efficient use of IONM resources but is indispensable for effective shared decision making between the patient and surgeon. The International Neural Monitoring Study Group (INMSG) feels complete discussion of IONM in the preoperative planning and patient consent process is important in all patients undergoing thyroid and parathyroid surgery. The purpose of this publication is to evaluate the impact of IONM on the informed consent process before thyroid and parathyroid surgery and to review the current INMSG consensus on evidence-based consent. The objective of this consensus statement, which outlines general and specific considerations as well as recommended criteria for informed consent for the use of IONM, is to assist surgeons and patients in the processes of informed consent and shared decision making before thyroid and parathyroid surgery.
摘要：
在过去的十年里,术中神经监测（IONM）在甲状腺和甲状旁腺手术中的使用已被外科医生广泛接受，作为改善喉神经识别和语音结果的有用技术，促进神经生理学研究，教育和培训外科医生，减少手术并发症和渎职诉讼。告知患者IONM不仅是良好的实践，有助于促进IONM资源的有效利用，而且对于患者和外科医生之间的有效共享决策是必不可少的。国际神经监测研究组（INMSG）认为，术前计划和患者同意过程中对IONM的完整讨论对于所有接受甲状腺和甲状旁腺手术的患者都很重要。本出版物的目的是评估IONM对甲状腺和甲状旁腺手术前知情同意过程的影响，并回顾当前INMSG关于循证同意的共识。这一共识声明的目标是，其中概述了一般和具体考虑因素以及使用IONM知情同意的建议标准，在甲状腺和甲状旁腺手术前，协助外科医生和患者进行知情同意和共同决策。
