Key result
Positioning-related injuries during surgery under anesthesia are multifactorial, involving mechanical forces, patient-specific factors, and perioperative inflammatory responses.
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This introductory review highlights that positioning-related neuropathies after surgery are multifactorial, involving mechanical forces, patient-specific factors, and perioperative inflammatory responses.
Positioning-related injuries caused during surgery under anesthesia are most likely multifactorial. Pathologic mechanical forces alone (overstretching and/or ischemia from direct compression) may not fully explain postsurgical neuropathy with recent evidence implicating patient-specific factors or perioperative inflammatory responses spatially and even temporally divorced from the anatomical region of injury. The aim of this introductory article is to provide an overview of anatomic considerations of these mechanical forces on soft and nervous tissues along with factors that may compound compression or stretch injury. Three subsequent articles will address specific positioning-related anatomic considerations of the (1) upper extremities, (2) lower extremities, and (3) central nervous system and soft tissues.
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Johnson et al. (2015) conducted a review in Neuropathies after surgery. Positioning-related mechanical forces during surgery was evaluated. Positioning-related injuries during surgery under anesthesia are multifactorial, involving mechanical forces, patient-specific factors, and perioperative inflammatory responses.
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