The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary
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 Tr...
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Australian College of Perioperative Nurses
2021-11-01
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| Series: | Journal of Perioperative Nursing |
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| Online Access: | https://journal.acorn.org.au/index.php/jpn/article/view/182 |
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| author | Tina Oblak Brigid Gillespie |
| author_facet | Tina Oblak Brigid Gillespie |
| author_sort | Tina Oblak |
| collection | DOAJ |
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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’, ‘roboticassisted 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.
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| format | Article |
| id | doaj-art-1fb31e6b84b64d41a40a5455cc86f94a |
| institution | DOAJ |
| issn | 2209-1084 2209-1092 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Australian College of Perioperative Nurses |
| record_format | Article |
| series | Journal of Perioperative Nursing |
| spelling | doaj-art-1fb31e6b84b64d41a40a5455cc86f94a2025-08-20T03:13:46ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922021-11-0134410.26550/2209-1092.1166The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summaryTina Oblak0Brigid Gillespie1Ljubljana University Medical CentreGriffith University, Gold Coast Hospital & Health Service 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’, ‘roboticassisted 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. https://journal.acorn.org.au/index.php/jpn/article/view/182steep Trendelenburgassistive devicesintra-operative complicationspatient positioningpatient monitoring |
| spellingShingle | Tina Oblak Brigid Gillespie The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary Journal of Perioperative Nursing steep Trendelenburg assistive devices intra-operative complications patient positioning patient monitoring |
| title | The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary |
| title_full | The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary |
| title_fullStr | The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary |
| title_full_unstemmed | The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary |
| title_short | The incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery: An evidence summary |
| title_sort | incidence of peripheral nerve injuries related to patient positioning during roboticassisted surgery an evidence summary |
| topic | steep Trendelenburg assistive devices intra-operative complications patient positioning patient monitoring |
| url | https://journal.acorn.org.au/index.php/jpn/article/view/182 |
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