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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...

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Updated: May 15, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:53

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

Preventing perioperative peripheral nerve injuries.

Sharon Bouyer-Ferullo

    AORN Journal
    |December 26, 2012
    PubMed
    Summary

    Preventable surgical nerve injuries can cause numbness and mobility issues. Early identification of at-risk patients and proper surgical positioning are key to preventing these complications.

    Area of Science:

    • Surgical patient safety
    • Neurology
    • Preventive medicine

    Background:

    • Peripheral nerve injuries (PNI) are often preventable complications arising from surgical patient positioning.
    • Risk factors include diabetes, extremes of weight, tobacco use, and prolonged surgery duration (>4 hours).
    • PNI symptoms like numbness, tingling, and motor deficits significantly impact daily living and recovery.

    Purpose of the Study:

    • To highlight the preventable nature of peripheral nerve injuries during surgery.
    • To identify patient risk factors and clinical manifestations of PNI.
    • To outline strategies for preventing PNI in surgical settings.

    Main Methods:

    • Review of literature on surgical patient positioning and PNI.
    • Identification of patient risk factors and common symptoms.

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    Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
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    Published on: March 15, 2024

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  • Analysis of preventive measures including patient assessment and intraoperative care.

    • Main Results:

    • PNI symptoms can manifest within 48 hours to a week post-surgery.
    • Meticulous attention to patient alignment and padding of bony prominences is crucial.
    • Preoperative risk assessment, interdisciplinary collaboration (physical therapy, OR staff), and neurophysiological monitoring are effective preventive strategies.

    Conclusions:

    • Peripheral nerve injuries are largely preventable through careful surgical positioning and risk factor management.
    • Proactive identification of high-risk patients and implementation of preventive protocols are essential.
    • Multidisciplinary approaches enhance patient safety and reduce the incidence of PNI.