Nursing Cooperation for Complex Thyroid Surgery

Abstract

Recurrent laryngeal nerve injury is one of the most serious complications of thyroid surgery. The use of a recurrent laryngeal nerve monitor during surgery is the best way to protect the recurrent laryngeal nerve from injury. For high-risk, complex thyroid surgery, intraoperative recurrent laryng-eal nerve monitoring and visual identification can significantly reduce the rate of recurrent laryngeal nerve injury, signific-antly reducing the risk of non-recurrent laryngeal nerve injury. Therefore, circuit nurses must master the use of nerve monitors and precautions to ensure the normal operation of the real-time monitoring. Due to the fine and complex anatomy of the neck, close relationship with important blood vessels and nerves, and narrow surgical area, the lymph nodes in this group all had metastases and some patients had severe adhes-ions. Therefore, surgery was quite difficult. Therefore, the circuit nurses were required to be proficient in the use of various instruments and equipment,and troubleshooting of common faults to ensure their normal use. Instrument nurses should be familiar with the surgical procedures and the doctor's habits, correct delivery of surgical instruments to ensure the smooth operation. When placing the body position, the body shape of the patient should be taken into consider-ation. The height of the shoulder paded should be suitable for patient and avoid excessive backsliding so as to avoid postop-erative neck and neck pain. Thyroid surgery is type I operation. It should be strictly aseptic and control the number of people in the operation room. Before the start of the operation, all items should be prepared as much as possible to Avoid frequent access and opening and closing doors to prevent infection.