Peri-operative brachial plexus injury following self-positioning for stereotactic radiofrequency ablation.
neuropathy
patient positioning
peripheral nerves
Journal
Anaesthesia reports
ISSN: 2637-3726
Titre abrégé: Anaesth Rep
Pays: England
ID NLM: 101759073
Informations de publication
Date de publication:
Historique:
accepted:
05
09
2019
entrez:
14
2
2020
pubmed:
14
2
2020
medline:
14
2
2020
Statut:
epublish
Résumé
A 71-year-old woman with a known accessory cervical rib and distinct scoliosis was scheduled for elective, percutaneous stereotactic radiofrequency ablation of a non-resectable intrahepatic cholangiocellular carcinoma. Patient positioning and fixation using a Bluebag fixation system (Medical Intelligence, Schwabmünchen, Germany) and a dedicated adjustable armrest were customised in the patient while awake. In order to provide safe conditions for mask ventilation and tracheal intubation, the patient was returned to standard supine positioning without changing the position of the armrest. Following the induction of general anaesthesia, the patient's arm was returned to the previously defined position. Upon completion of the procedure and emergence from anaesthesia, the patient immediately reported symptoms of severe brachial plexus damage. Therefore, we suggest that awake positioning according to current recommendations does not completely preclude the possibility of neurologic injury.
Identifiants
pubmed: 32051957
doi: 10.1002/anr3.12024
pii: ANR312024
pmc: PMC6931303
doi:
Types de publication
Case Reports
Langues
eng
Pagination
79-82Informations de copyright
© 2019 Association of Anaesthetists.
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