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Severe Peripheral Nerve Injury

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Catastrophic Perioperative Complications and Management

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Abstract

Nerve injuries can occur during general anesthesia as a result of patient positioning and/or tourniquet placement; during regional anesthesia, there is the potential for direct injury to the nerve. Risk factors are often multifactorial, and it is helpful to classify these into various categories: patient-related, anesthesia-related, and surgery-related causes. This chapter classifies identifiable risk factors and how they can be evaded. Clinical manifestations of commonly encountered nerve injuries are described, so the perioperative providers can quickly recognize a peripheral nerve deficit. The diagnosis can be aided by EMG, nerve stimulation, and certain imaging techniques. Early nerve repair results in improved functional outcomes. Surgical techniques and nonsurgical techniques are also described.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology & Perioperative Medicine, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA, USA

    Rayhan Tariq, S. Nini Malayaman, Usama Iqbal, Marcus Zebrower & Henry Liu

  2. Department of Anesthesiology, Wuhan Central Hospital, Wuhan, Hubei, China

    Hong Yan

  3. Department of Anesthesiology, Xiangyang Central Hospital, Xiangyang, Hubei, China

    Mingqiang Li

Authors
  1. Rayhan Tariq
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  2. S. Nini Malayaman
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  3. Hong Yan
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  4. Usama Iqbal
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  5. Mingqiang Li
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  6. Marcus Zebrower
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  7. Henry Liu
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA

    Charles J. Fox, III

  2. Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA

    Elyse M. Cornett

  3. Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Sciences Center – Shreveport, Shreveport, LA, USA

    G. E. Ghali

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Tariq, R. et al. (2019). Severe Peripheral Nerve Injury. In: Fox, III, C., Cornett, E., Ghali, G. (eds) Catastrophic Perioperative Complications and Management. Springer, Cham. https://doi.org/10.1007/978-3-319-96125-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-96125-5_15

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