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TECHNOLOGY, COMPUTING, AND SIMULATION

Intraoperative Monitoring of the Recurrent Laryngeal Nerve During Single-Lung Ventilation in Esophagectomy

Thomas M. Hemmerling, MD, DEAA^*, Joachim Schmidt, MD^*, Klaus E. Jacobi, MD^*, and Peter Klein, MD

Departments of Anesthesiology and Abdominal Surgery, University of Erlangen-Nuremberg, Erlangen, Germany

Address correspondence and reprint requests to T. M. Hemmerling, MD, DEAA, Centre Hospitalier de l’Université de Montréal, HÔTEL-DIEU, 3840, rue Saint-Urbain, Montréal (Québec) H2W 1T8, Canada. Address e-mail to thomashemmerling{at}hotmail.com

Implications: We describe the use of a surface electrode attached to a double-lumen endobronchial tube to identify and monitor the recurrent laryngeal nerve during esophagectomy in single-lung ventilation. The technique is demonstrated in the case of a patient with carcinoma of the distal esophagus.

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