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Brachial plexopathy after prone positioning.

Claudia E Goettler1, John P Pryor, Patrick M Reilly

  • 1Division of Trauma and Surgical Critical Care, Brody School of Medicine, East Carolina University, Gennville, North Carolina, USA.

Critical Care (London, England)
|December 21, 2002
PubMed
Summary
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Brachial plexus injury can occur after intensive care unit patients are placed in the prone position. This report details two cases and offers prevention strategies for this rare complication.

Area of Science:

  • Neurology
  • Intensive Care Medicine
  • Surgical Complications

Background:

  • The prone position is frequently used in intensive care units (ICUs) for patients with acute respiratory distress syndrome (ARDS).
  • While beneficial for ventilation, the prone position carries potential risks, including nerve injuries.
  • Brachial plexus injury is an uncommon but serious complication associated with prolonged prone positioning.

Observation:

  • This report describes two distinct cases of brachial plexus injury occurring in patients managed with the prone position in the ICU.
  • The injuries manifested as sensory and motor deficits in the upper extremities.
  • Detailed clinical examination and diagnostic workup were performed to confirm the nerve damage.

Findings:

  • The study elucidates the potential mechanisms leading to brachial plexus injury during prone positioning.

Related Experiment Videos

  • These mechanisms may involve direct compression, stretch, or traction on the nerves.
  • Understanding these mechanisms is crucial for identifying at-risk patients and implementing preventive measures.

    • Implications:

    • Implementing specific preventive strategies during prone positioning can mitigate the risk of brachial plexus injury.
    • Early recognition and management are essential to improve patient outcomes and reduce long-term disability.
    • This highlights the importance of vigilant patient monitoring and careful positioning techniques in critical care settings.