Nerve Compression Injuries After Prolonged Prone Position Ventilation in Patients With SARS-CoV-2: A Case Series

BACKGROUND: Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. However, this procedure can also be responsible for nerve damage and plexopathy. METHODS: W...

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Detalles Bibliográficos
Autores principales: Brugliera, Luigia, Filippi, Massimo, Del Carro, Ubaldo, Butera, Calogera, Bianchi, Francesca, Castellazzi, Paola, Cimino, Paolo, Capodaglio, Paolo, Monti, Giacomo, Mortini, Pietro, Pradotto, Luca G., Priano, Lorenzo, Spina, Alfio, Iannaccone, Sandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by the American Congress of Rehabilitation Medicine 2021
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685952/
https://www.ncbi.nlm.nih.gov/pubmed/33245939
http://dx.doi.org/10.1016/j.apmr.2020.10.131
Descripción
Sumario:BACKGROUND: Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. However, this procedure can also be responsible for nerve damage and plexopathy. METHODS: We retrospectively reviewed a series of 7 infectious patients with coronavirus disease 2019 who underwent prone positioning ventilation at the San Raffaele Hospital of Milan, Italy, during the SARS-CoV-2 pandemic. RESULTS: Clinical and neurophysiological data of 7 patients with nerve compression injuries have been reported. CONCLUSIONS: Health care workers should take into consideration the risk factors for prone positioning–related plexopathy and nerve damage, especially in patients with coronavirus disease 2019, to prevent this type of complication.

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