The incidence of peripheral nerve injuries related to patient positioning during robotic assisted surgery: An evidence summary

Loading...
Thumbnail Image
File version
Version of Record (VoR)
Author(s)
Oblak, T
Gillespie, BM
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2021
Size
File type(s)
Location
License
https://creativecommons.org/licenses/by/4.0/
Abstract

Objective: To describe the incidence and anatomical locations of peripheral nerve injuries (PNIs) related to patient positioning during urologic, gynaecologic and colorectal robotic-assisted surgery (RAS). Background: Incorrect positioning of extremities and lack of assistive devices in steep Trendelenburg (up to 45°) positioning during urologic, gynaecologic and colorectal RAS places the patient at potential risk of nerve injury. Method: A structured search of recent systematic reviews published between January 2019 and August 2021 in the Cochrane Library, PubMed, ProQuest and Google Scholar databases using search terms ‘patient positioning’, ‘robotic-assisted surgery’, ‘Trendelenburg’, ‘complication’ and ‘injury’ with medical subject headings (MeSH) was conducted. Results: The overall incidence rates of PNI associated with patient positioning during RAS varied from 0.16 to 10.8 per cent. The most common anatomical positions of nerve injuries in upper extremities related to patient positioning during RAS were identified in brachial plexus, ulnar, median, radial and humeral nerves. For lower extremities, nerve injuries were identified in the sciatic, femoral, obturator, femoral cutaneous and common cutaneous nerves. Conclusion: Operating room teams should develop institutional policies to support perioperative practice that is based on the best available evidence. Application: This evidence summary supports the need for frequent routine checks and constant monitoring of the patient’s position through the operating procedure.

Journal Title
Journal of Perioperative Nursing
Conference Title
Book Title
Edition
Volume
Issue
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
© The Author(s) 2021. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject
Nursing
Persistent link to this record
Citation
Oblak, T; Gillespie, BM, The incidence of peripheral nerve injuries related to patient positioning during robotic assisted surgery: An evidence summary, Journal of Perioperative Nursing, 2021, 34 (4), pp. e-49 - e-53
Collections