Analgesia & Resuscitation : Current ResearchISSN: 2324-903X

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Case Report, Analg Resusc Curr Res Vol: 4 Issue: 2

Nerve Injury Associated with Intraoperative Blood Pressure Cuff Compression

MR van Ooijen*, R Ketelaars and GJ Scheffer
Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
Corresponding author : MR van Ooijen
Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen,Radboudumc, Geert Grooteplein-Zuid 10, Postbus 9101500 HB, Nijmegen, The Netherlands
E-mail: [email protected]
Received: February 23, 2015 Accepted: June 18, 2015 Published: June 25, 2015
Citation: van Ooijen MR, Ketelaars R, Scheffer GJ (2015) Nerve Injury Associated with Intraoperative Blood Pressure Cuff Compression. Analg Resusc: Curr Res 4:2. doi:10.4172/2324-903X.1000134

Abstract

Peripheral nerve injury is a rare complication of anesthesia. Although most symptoms of peripheral neuropathies after anesthesia resolve spontaneously, permanent nerve damage is a serious complication. Risk factors have been described in literature, but in the majority of cases the direct cause remains unclear. We describe two patients with transient neurological dysfunction of the median and ulnar nerve after general anesthesia and suggest blood pressure cuff compression as a possible cause. It may be a more frequently occurring cause of peripheral nerve injury than suggested in the literature so far. To reduce such damage we propose two alternative strategies.

Keywords: Peripheral nerve injury; Anesthesia; Postoperative dysfunction; Blood pressure

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