A Review of Lithotomy Position-Related Intraoperative Peripheral Nerve Injury and Preventative Measures

Abstract

Article| September 2022 A Review of Lithotomy Position-Related Intraoperative Peripheral Nerve Injury and Preventative Measures Brian Lee, MBA, BS; Brian Lee, MBA, BS Search for other works by this author on: This Site PubMed Google Scholar Yuri Bychkov, DO; Yuri Bychkov, DO Search for other works by this author on: This Site PubMed Google Scholar Daniel Mutua, BA; Daniel Mutua, BA Search for other works by this author on: This Site PubMed Google Scholar Ravneet (Sona) Bhullar, MD, FASA Ravneet (Sona) Bhullar, MD, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor September 2022, Vol. 86, 39–40. https://doi.org/10.1097/01.ASM.0000874292.40734.59 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Brian Lee, Yuri Bychkov, Daniel Mutua, Ravneet (Sona) Bhullar; A Review of Lithotomy Position-Related Intraoperative Peripheral Nerve Injury and Preventative Measures. ASA Monitor 2022; 86:39–40 doi: https://doi.org/10.1097/01.ASM.0000874292.40734.59 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: intraoperative care, lithotomy, peripheral nerve injuries, surgical procedures, operative, lithotomy position Intraoperative peripheral nerve injury (IPNI) is a debilitating and costly complication that can follow anesthesia during surgery (Anesthesiology 1999;90:1062-9). The most recent closed claims analyses spanning 2007 to 2014 indicate that 13.5%-14% of claims were due to nerve injury, ranking nerve damage as the third most common perioperative injury behind teeth damage, and death or pain (J Patient Saf 2021;17:513-21; J Healthc Risk Manag 2014;34:31-42). IPNI can result in permanent loss of limb function in up to 23% of patients and an average cost of claims reaching $46,269 (J Clin Anesth 2019;58:84-90; Best Pract Res Clin Anaesthesiol 2011;25:263-76). Any IPNI is likely influenced by several preexisting factors, including neuropathy, patient comorbidities, and medical errors (J Clin Anesth 2019;58:84-90; Surg Neurol 2005;63:5-18). Risk factors for IPNI pertaining to preexisting neuropathies and comorbidities include diabetes, peripheral vascular disease, anorexia, obesity, tobacco... You do not currently have access to this content.