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Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?

Prone positioning is a mainstay of management for those presenting to the intensive care unit with moderate-to-severe acute respiratory distress syndrome due to COVID-19. While this is a necessary and life-saving intervention in selected patients, careful positioning and meticulous care are required...

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Autores principales: King-Robson, Josh, Bates, Eleanor, Sokolov, Elisaveta, Hadden, Robert D M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8728371/
https://www.ncbi.nlm.nih.gov/pubmed/34983806
http://dx.doi.org/10.1136/bcr-2021-243798
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author King-Robson, Josh
Bates, Eleanor
Sokolov, Elisaveta
Hadden, Robert D M
author_facet King-Robson, Josh
Bates, Eleanor
Sokolov, Elisaveta
Hadden, Robert D M
author_sort King-Robson, Josh
collection PubMed
description Prone positioning is a mainstay of management for those presenting to the intensive care unit with moderate-to-severe acute respiratory distress syndrome due to COVID-19. While this is a necessary and life-saving intervention in selected patients, careful positioning and meticulous care are required to prevent compression and traction of the brachial plexus, and resultant brachial plexopathy. We describe two patients who developed a brachial plexus injury while undergoing prone positioning for management of COVID-19 pneumonitis. Both patients were diabetic and underwent prolonged periods in the prone position during which the plexopathy affected arm was abducted for 19 and 55 hours, respectively. We discuss strategies to reduce the risk of this rare but potentially disabling complication of prone positioning.
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spelling pubmed-87283712022-01-18 Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis? King-Robson, Josh Bates, Eleanor Sokolov, Elisaveta Hadden, Robert D M BMJ Case Rep Case Report Prone positioning is a mainstay of management for those presenting to the intensive care unit with moderate-to-severe acute respiratory distress syndrome due to COVID-19. While this is a necessary and life-saving intervention in selected patients, careful positioning and meticulous care are required to prevent compression and traction of the brachial plexus, and resultant brachial plexopathy. We describe two patients who developed a brachial plexus injury while undergoing prone positioning for management of COVID-19 pneumonitis. Both patients were diabetic and underwent prolonged periods in the prone position during which the plexopathy affected arm was abducted for 19 and 55 hours, respectively. We discuss strategies to reduce the risk of this rare but potentially disabling complication of prone positioning. BMJ Publishing Group 2022-01-04 /pmc/articles/PMC8728371/ /pubmed/34983806 http://dx.doi.org/10.1136/bcr-2021-243798 Text en © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.
spellingShingle Case Report
King-Robson, Josh
Bates, Eleanor
Sokolov, Elisaveta
Hadden, Robert D M
Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title_full Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title_fullStr Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title_full_unstemmed Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title_short Prone position plexopathy: an avoidable complication of prone positioning for COVID-19 pneumonitis?
title_sort prone position plexopathy: an avoidable complication of prone positioning for covid-19 pneumonitis?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8728371/
https://www.ncbi.nlm.nih.gov/pubmed/34983806
http://dx.doi.org/10.1136/bcr-2021-243798
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