Intraoperative brachial plexus injury – Do we need a wake-up call?

Dsouza, Supriya; Gupta, Preeti; Butani, Manju

doi:10.4103/joacp.joacp_173_18

Cited by 1 publication

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This could be especially useful in the lower arm in the lateral position, given the risk of axillary vascular and brachial plexus compression. The brachial plexus is at significant risk of injury in all positions [34,35] and has been implicated in some studies as representing over half of patient positioning injury ligation [36]. Therefore, these noninvasive interventions have the potential to be utilized in daily practice.…”

Section: Future Areas Of Researchmentioning

confidence: 99%

Preventing patient positioning injuries in the nonoperating room setting

Moody

Chacin

Chang

2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of reviewPostprocedural positioning injuries are an under-appreciated source of morbidity for patients. These injuries may not present until days after anesthesia and may be missed for multiple reasons including the distracting injury of the procedural site, illness of the patient, lack of follow-up, and insufficient awareness of this type of injury. Risks for these adverse events are exacerbated in the nonoperating room anesthesia (NORA) population for several reasons. These patients tend to be older and sicker than patients presenting to the operating room, increasing the risk of an injury. Proceduralists and anesthesia providers are usually consultants, not the primary care team, so may have limited patient follow-up. This review will discuss the risk factors for position-related injuries and how to prevent them with proper positioning and padding. Recent findingsThe mainstay of preventing periprocedural positioning injuries is careful positioning of the patient and proper padding of pressure points. This may be particularly challenging because of physical constraints and positioning requirements for NORA procedures, as well as preference for radiolucent positioning materials. Recent studies have shown the potential benefit of monitoring somatosensory evoked potentials (SSEP) in high-risk patients.

show abstract

Section: Future Areas Of Researchmentioning

confidence: 99%