2010, Number S1
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Rev Mex Anest 2010; 33 (S1)
Perioperative nerve injuries and risk management
Prielipp RC
Language: English
References: 41
Page: 220-228
PDF size: 492.51 Kb.
Text Extraction
Objectives:
• List the most common adverse outcomes in the OR
• Know the anatomy and vulnerable zones of the ulnar nerve
• Understand conditions associated with perioperative nerve injury
• Explore factors associated with positioning in the OR
• Recognize differences and similarities for upper and lower extremity neuropathies
• Be familiar with important documentation required for the medical record and risk management
• Review recent nerve injury research
• Be aware of medico-legal considerations and implications
REFERENCES
Cheney FW. The American Society of Anesthesiologists Closed Claims Project: what have we learned, how has it affected practice, and how will it affect practice in the future? Anesthesiology 1999;91:552-6.
Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999;90:1062-9.
Kroll DA, Caplan RA, Posner K, et al. Nerve injury associated with anesthesia. Anesthesiology 1990;73:202-7.
Stoelting RK. Postoperative ulnar nerve palsyCis it a preventable complication? Anesth Analg 1993;76:7-9.
O’Driscoll SW, Horii E, Carmichael SW, Morrey BF. The cubital tunnel and ulnar neuropathy. J Bone Joint Surg Br 1991;73:613-7.
Miller RG. The cubital tunnel syndrome: diagnosis and precise localization. Ann Neurol 1979;6:56-9.
Campbell WW, Pridgeon RM, Riaz G, et al. Variations in anatomy of the ulnar nerve at the cubital tunnel: pitfalls in the diagnosis of ulnar neuropathy at the elbow. Muscle Nerve 1991;14:733-8.
Contreras MG, Warner MA, Charboneau WJ, Cahill DR. Anatomy of the ulnar nerve at the elbow: potential relationship of acute ulnar neuropathy to gender differences. Clin Anat 1998;11:372-8.
Warner MA, Warner ME, Martin JT. Ulnar neuropathy. Incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 1994;81:1332-40.
Warner MA, Warner DO, Matsumoto JY, et al. Ulnar neuropathy in surgical patients. Anesthesiology 1999;90:54-9.
Alvine FG, Schurrer ME. Postoperative ulnar-nerve palsy. Are there predisposing factors? J Bone Joint Surg Am 1987;69:255-9.
Prielipp RC, Morell RC, Butterworth J. Ulnar nerve injury and perioperative arm positioning. Anesthesiol Clin North Am 2002;20:351-65.
Dawson DM, Krarup C. Perioperative nerve lesions. Arch Neurol 1989;46:1355-60.
Swenson JD, Bull DA. Postoperative ulnar neuropathy associated with prolonged ischemia in the upper extremity during coronary artery bypass surgery. Anesth Analg 1997;85:1275-7.
Kozu H, Tamura E, Parry GJ. Endoneurial blood supply to peripheral nerves is not uniform. J Neurol Sci 1992;111:204-8.
Swenson JD, Hutchinson DT, Bromberg M, Pace NL. Rapid onset of ulnar nerve dysfunction during transient occlusion of the brachial artery. Anesth Analg 1998;87:677-80.
Prielipp RC, Morell RC, Walker FO, et al. Ulnar nerve pressure: influence of arm position and relationship to somatosensory evoked potentials. Anesthesiology 1999;91:345-54.
Osterman AL. The double crush syndrome. Orthop Clin North Am 1988;19:147-55.
Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet 1973;2:359-62.
Sy WP. Ulnar nerve palsy possibly related to use of automatically cycled blood pressure cuff. Anesth Analg 1981;60:687-8.
Jones HD. Ulnar nerve damage following general anaesthetic. A case possibly related to diabetes mellitus. Anaesthesia 1967;22:471-5.
Yamada T, Muroga T, Kimura J. Tourniquet-induced ischemia and somatosensory evoked potentials. Neurology 1981;31:1524-9.
Cameron MG, Stewart OJ. Ulnar nerve injury associated with anaesthesia. Can Anaesth Soc J 1975;22:253-64.
Warner MA, Warner DO, Harper CM, et al. Ulnar neuropathy in medical patients. Anesthesiology 2000;92:613-5.
Caplan RA. Will we ever understand perioperative neuropathy? A fresh approach offers hope and insight. Anesthesiology 1999;91:335-6.
Caplan RA, Posner KL, Cheney FW. Perioperative ulnar neuropathy: are we ready for shortcuts? Anesthesiology 1994; 81:1321-3.
Morell RA, Prielipp RC, Butterworth JF, et al. Men are more susceptible than women to direct pressure on unmyelinated ulnar nerve fibers. Anesth Analg 2003;97: IN PRESS (October 2003).
Britt BA, Joy N, Mackay MB. Anesthesia-related trauma caused by patient malpositioning. In: Gravenstein N, Kirby RR, eds. Complications in Anesthesiology, 2nd ed. Philadelphia: Lippincott-Raven, 1996: 365-389.
Nakata DA, Stoelting RK. Positioning. In: Morell RC, Eichhorn JH, eds. Patient Safety in Anesthetic Practice. New York: Churchhill-Livingstone, 1997: 293-318.
Babbs CF, Bourland JD, Graber GP, et al. A pressure-sensitive mat for measuring contact pressure distributions of patients lying on hospital beds. Biomed Instrum Technol 1990;24:363-70.
Chiappa KH. Short-latency somatosensory evoked potentials: methodology. In: Chiappa KH, ed. Evoked Potentials in Clinical Medicine, 2nd ed. New York: Raven Press, 1989:307-64.
Grundy BL. Evoked potential monitoring. In: Blitt CD, ed. Monitoring in Anesthesia and Critical Care Medicine. New York: Churchill Livingstone, 1985:345-411.
Warner MA, Warner DO, Harper CM, et al. Lower Extremity neuropathies associated with lithotomy positions. Anesthesiology 2000;93:938-42.
Pfeffer SD, Halliwill JR, Warner MA. Effects of lithotomy position and external compression on lower leg muscle compartment pressure. Anesthesiology 2001;95:632-6.
Practice advisory for the prevention of perioperative peripheral neuropathies: a report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies. Anesthesiology 2000;92:1168-82.
Warner ME, Warner MA, Garrity JA, et al. The frequency of perioperative vision loss. Anesth Analg 2001;93:1417-21.
Perreault L, Drolet P, Farny J. Ulnar nerve palsy at the elbow after general anaesthesia. Can J Anaesth 1992;39:499-503.
Ekerot L. Postanesthetic ulnar neuropathy at the elbow. Scand J Plast Reconstr Surg 1977;11:225-9.
Posner MA. Compressive ulnar neuropathies at the elbow: I. Etiology and diagnosis. J Am Acad Orthop Surg 1998;6: 282-8.
Spaans F. Compression and entrapment neuropathies. In: Matthews WB, ed. Handbook of Clinical Neurology, Vol. 51. Amsterdam: Elsevier Science Publishers, 1987: 85-97.
Kamel IR, Drum ET, Koch SA, et al. The use of somatosensory evoked potentials to determine the relationship between patient positioning and impending upper extremity nerve injury during spine surgery: A retrospective analysis. Anesth Analg 2006;102:1538-1542.