Investigation of the relationship between stimulation current in continuous intraoperative neuromonitoring (CIONM) during thyroid surgery and autonomous nervous system activity

Eva Kern, Andrea Kohler, Fabian Rieber, Colin Friedrich, Waltraud Zopf, Klaus-Peter Thon, Wolfgang Steurer, Wolfram Lamadé & Christoph Ulmer
Intrduction: Continuous intraoperative neuromonitoring (CIONM) via vagus nerve stimulation (VNS) during thyroid surgery has been shown to influence the autonomous nervous system (ANS). Since no hemodynamic changes or significant changes in cytokine release have been shown, the technology is considered[for full text, please go to the a.m. URL]