Neuropraxia: An Underappreciated Morbidity of Liver Transplantation

Craig‐Schapiro, Rebecca; Krepostman, Nicolas; Ravi, Mohan; Mazumder, Nikhilesh; Daud, Amna; Ladner, Daniela P.

doi:10.1016/j.jss.2020.05.030

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…First, patient characteristics including age over 50 years, ASA physical classification greater than 3, extremes of BMI, male sex, and low albumin have been implicated in various studies to increase the relative risk of injury [3,11,12 ▪ ,13–15]. Vascular disease, such as history of stroke, peripheral vascular disease, and smoking impair tissue perfusion and predispose to injury [7].…”

Section: Risk Factorsmentioning

confidence: 99%

Preventing patient positioning injuries in the nonoperating room setting

Moody

Chacin

Chang

2022

Current Opinion in Anaesthesiology

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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.

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Section: Risk Factorsmentioning

confidence: 99%