title: GlideScope-assisted nerve integrity monitoring tube placement for intra-operative recurrent laryngeal nerve monitoring.
abstract: OBJECTIVE
  The proper positioning of the Nerve Integrity Monitoring® endotracheal tube during recurrent laryngeal nerve monitoring is of paramount importance. This article describes our experience with the GlideScope® and explains how it can facilitate the accurate placement of the Nerve Integrity Monitoring endotracheal tube.
  
  
  METHODS
  Endotracheal intubation with the Nerve Integrity Monitoring endotracheal tube was performed in 250 patients undergoing thyroidectomies using the GlideScope video laryngoscope. The correct positioning of the tube was determined according to impedance values of less than 5 kohm and an impedance imbalance of less than 1 kohm.
  
  
  RESULTS
  Successful intubation was achieved in all cases. The GlideScope aided the correct placement of the Nerve Integrity Monitoring endotracheal tube in the majority of the cases.
  
  
  CONCLUSIONS
  The GlideScope provides an excellent means to ensure the correct positioning of the Nerve Integrity Monitoring tube. It allows both the surgeon and the anaesthesiologist to participate in the intubation process and confirm correct placement of the tube, whilst also allowing gentle intubation with improved visibility.
authors.affiliation: Center for Thyroid and Parathyroid Surgery, Department of Otolaryngology/Head and Neck Surgery, St. Luke's-Roosevelt Hospital Center, New York, New York, USA. dr.sohitpaul@gmail.com
authors.forename: S P
authors.initials: SP
authors.lastname: Kanotra
authors.forename: D B
authors.initials: DB
authors.lastname: Kuriloff
authors.forename: J
authors.initials: J
authors.lastname: Lesser
authors.forename: F
authors.initials: F
authors.lastname: Rest-Flarer
mesh_terms: D004566:Electrodes; D004576:Electromyography; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000295:instrumentation / Q000379:methods*; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods; D059351:Organ Sparing Treatments / Q000295:instrumentation / Q000379:methods*; D012009:Recurrent Laryngeal Nerve / Q000502:physiology; D061226:Recurrent Laryngeal Nerve Injuries / Q000517:prevention & control*; D013965:Thyroidectomy / Q000295:instrumentation / Q000379:methods*