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Related Concept Videos

Local Anesthetics: Adverse Effects01:12

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While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
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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...
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Related Experiment Video

Updated: Mar 9, 2026

Automated Gait Analysis to Assess Functional Recovery in Rodents with Peripheral Nerve or Spinal Cord Contusion Injury
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[Neurosurgical position causes peripheral nerve injuries?]

Pedro Esquivel-Enríquez1, Iván Pérez-Neri2, Luisa Manrique-Carmona3

  • 1Departamento de Anestesiología, Hospital Ángeles Metropolitano, Ciudad de México, México.

Cirugia Y Cirujanos
|December 21, 2016
PubMed
Summary

Peripheral nerve injury from surgical positioning is infrequent. Understanding injury mechanisms aids in prevention and early detection of complications, especially in patients over 85kg.

Keywords:
Lesión nervio periféricoNeuropatía periféricaNeurosurgical proceduresPeripheral nerve injuriesPeripheral neuropathiesProcedimientos neuroquirúrgicos

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Area of Science:

  • Neurosurgery
  • Neurology
  • Surgical Safety

Background:

  • Neurosurgical patient positioning presents challenges, with potential for peripheral nerve injury (PNI) via elongation, compression, or ischemia.
  • Understanding the frequency and mechanisms of PNI in specific clinical environments is crucial for surgical teams.

Purpose of the Study:

  • To determine the incidence of peripheral nerve injury resulting from patient positioning during neurosurgical procedures.
  • To identify potential risk factors associated with PNI in this context.

Main Methods:

  • A prospective study involving 163 patients undergoing neurosurgical procedures.
  • Patients were analyzed in four positions: supine, lateral, ventral, and park bench.
  • Neurological assessments were performed to detect injuries and correlate them with risk factors.

Main Results:

  • 112 patients were included in the final analysis.
  • Two patients in the park bench position experienced temporary ulnar paresthesias (<24 hours).
  • A statistically significant correlation was found between PNI and patient body weight exceeding 85kg.

Conclusions:

  • The overall incidence of peripheral nerve injury in this neurosurgical cohort is low.
  • Knowledge of injury mechanisms (elongation, compression, ischemia) is vital for proactive prevention strategies.
  • Early detection of PNI complications can be improved through awareness and understanding of risk factors.