Key result
Optimal intraoperative patient positioning, including limiting shoulder abduction to less than 90 degrees and avoiding extreme elbow flexion, is recommended to minimize the risk of perioperative upper extremity peripheral nerve injury.
Why the study?
Despite observational, experimental, human cadaveric, and animal studies, the understanding of the etiology and prevention of perioperative peripheral nerve injury remains incomplete.
This review highlights that perioperative upper extremity peripheral nerve injury has a multifactorial etiology, emphasizing the importance of optimal intraoperative patient positioning to prevent ischemia and nerve damage.
Supports intraoperative positioning protocols to minimize nerve injury; leaves open prospective confirmation of specific thresholds.
Peripheral nerve injury is a rare but significant perioperative complication. Despite a variety of investigations that include observational, experimental, human cadaveric and animal studies, we have an incomplete understanding of the etiology of PPNI and the means to prevent it. In this article we reviewed current knowledge pertinent to perioperative upper extremity peripheral nerve injury and optimal intraoperative patient positioning.
No takes yet. Share an insight, caveat, or question.
Ihab R. Kamel (2019) conducted a review in Perioperative Upper Extremity Peripheral Nerve Injury. Intraoperative patient positioning was evaluated. Optimal intraoperative patient positioning, including limiting shoulder abduction to less than 90 degrees and avoiding extreme elbow flexion, is recommended to minimize the risk of perioperative upper extremity peripheral nerve injury.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: