Case Reports in Anesthesiology / 2020 / Article / Tab 2 / 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 ,
17 –
20 ].
Author Nerve injury Surgery Duration of surgery Risk factors Swei et al. [20 ] Radial nerve Emergency appendectomy 120 minutes Low 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 nerve Lumbar epidural for normal labor 60 minutes Actively moving patient during labor (moving artifact) leads to repeated prolonged measurement Lin et al. [4 ] Radial nerve Laparotomy for perforated peptic ulcer 150 minutes BMI 18.5, applying the pressure cuff at a lower level close to the cubital fossa Van Ooijen et al. [6 ] Ulnar nerve Elective Le Fort iosteotomy. 240 minutes BMI 20.6, prolonged surgery Van Ooijen et al. [6 ] Median nerve Laparoscopic low anterior resection of the rectosigmoid colon 160 minutes Hypertension, atrial fibrillation, and chronic obstructive pulmonary disease (COPD), prolonged and repeated blood pressure measurement Kim et al. [5 ] Radial nerves Nail removal and nail lengthening for fibular hemimelia 180 minutes Prolonged surgery Mehta [19 ] Radial nerve Ambulatory 24-hour blood pressure monitoring 24 h Hypertension, 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 cancer 340 minutes Failure of deflation of the automatically cycled blood pressure, prolonged surgery