Case Report

Perioperative Automated Noninvasive Blood Pressure- (NIBP-) Related Peripheral Nerve Injuries: An Anesthetist’s Dilemma—A Case Report and Review of the Literature

Table 2

Case reports of blood pressure-induced nerve injuries [4, 6, 1720].

AuthorNerve injurySurgeryDuration of surgeryRisk factors

Swei et al. [20]Radial nerveEmergency appendectomy120 minutesLow body mass index (BMI) of 17.75, repeated inflation of the pressure cuff takes place in response to erroneous signals from outside interference

Bickler et al. [18]Radial nerveLumbar epidural for normal labor60 minutesActively moving patient during labor (moving artifact) leads to repeated prolonged measurement

Lin et al. [4]Radial nerveLaparotomy for perforated peptic ulcer150 minutesBMI 18.5, applying the pressure cuff at a lower level close to the cubital fossa

Van Ooijen et al. [6]Ulnar nerveElective Le Fort iosteotomy.240 minutesBMI 20.6, prolonged surgery

Van Ooijen et al. [6]Median nerveLaparoscopic low anterior resection of the rectosigmoid colon160 minutesHypertension, atrial fibrillation, and chronic obstructive pulmonary disease (COPD), prolonged and repeated blood pressure measurement

Kim et al. [5]Radial nervesNail removal and nail lengthening for fibular hemimelia180 minutesProlonged surgery

Mehta [19]Radial nerveAmbulatory 24-hour blood pressure monitoring24 hHypertension, compression injury from 24-hour automated cycled blood pressure monitoring

Yamada et al. [22]Unspecified nerve injury with the crush syndrome (rhabdomyolysis)Total gastrectomy, splenectomy, and cholecystectomy for gastric cancer340 minutesFailure of deflation of the automatically cycled blood pressure, prolonged surgery