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