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I | 2024 | cIONM in thyroid surgery | EN

Hospitation Course

Intraoperative neuromonitoring (IONM) is now routinely used in thyroid surgery. The combination of intermittent and continuous neurophysiological monitoring (cIONM) allows real-time monitoring of nerve function. In our course, you will learn the methods of neurophysiology in thyroid surgery from theoretical principles to practical applications. The combination of self-study courses and surgical observation at the University Hospital Mainz offers you flexibility in the theoretical content and at the same time intensive exchange in the small group in the practical part. Upon completion of the course, you will be able to use the cIONM more confidently and effectively in your clinical practice. Upon completion of the course, you will be able to use the cIONM more confidently and effectively in your clinical practice.

Target group

  • Doctors who already use cIONM and who want to deepen their knowledge
  • Doctors who use intermittent IONM and who want to newly establish cIONM in their clinic

In this course you will learn

  • cIONM basics with regard to technology, application and recent innovations
  • mechanisms / causes of function-related signal changes; differentiation between true loss-of-signal and artefacts
  • anaesthesiological aspects of cIONM
  • tips and tricks for particular patients or operative situations (children, tracheal resections)
  • cIONM system set-up in the OR; tips and tricks for the preparation of thyroid surgeries, such as tube selection and patient positioning
  • optimal placing of breathing tube and electrodes; optimal nerve stimulation
  • intermittent and continuous stimulation of Vagus, RLN and SLN
  • live-surgery demonstration of cIONM in thyroidectomies; if feasible, with central and (uni)lateral lymphadenectomy
  • consequences of intraoperative signal changes or signal loss (change in surgical strategy)
  • correct labelling of documented signals, (judicially sufficient) documentation of IONM findings
  • IONM data quality check

As an extra:

  • (auto)fluorescence imaging of parathyroid glands

You can find the flyer here: Download




7th - 8th March 2024


University Medicine of the Johannes-Gutenberg-University Mainz, Germany


Digital learning material (availability up to 6 months after event date)


Beginners and advanced learners




Univ.-Prof. Dr. med. Thomas J. Musholt


Rhineland-Palatinate Medical Association
(will be applied for)


Presence course
The presence event is fully booked..

You are welcome to book the course in September, you can find it under Programme.

Registration deadline

23rd February 2024