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Nerve Compression Injuries After Prolonged Prone Position Ventilation in Patients With SARS-CoV-2: A Case Series.
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.
  • Brugliera L; Department of Rehabilitation and Functional Recovery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan. Electronic address: brugliera.luigia@hsr.it.
  • Filippi M; Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, Neurology Unit, Neurophysiology Unit, I.R.C.C.S. San Raffaele Scientific Institute, Milan, Italy/Vita-Salute San Raffaele University, Milan.
  • Del Carro U; Neurophysiology Unit, I.R.C.C.S. San Raffaele Scientific Institute, Milan.
  • Butera C; Neurophysiology Unit, I.R.C.C.S. San Raffaele Scientific Institute, Milan.
  • Bianchi F; Neurophysiology Unit, I.R.C.C.S. San Raffaele Scientific Institute, Milan.
  • Castellazzi P; Department of Rehabilitation and Functional Recovery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
  • Cimino P; Department of Rehabilitation and Functional Recovery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
  • Capodaglio P; Rehabilitation Unit, I.R.C.C.S. Istituto Auxologico Italiano, Piancavallo.
  • Monti G; Department of Anaesthesia and Intensive Care, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
  • Mortini P; Department of Neurosurgery and Gamma Knife Radiosurgery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
  • Pradotto LG; Neurology Unit, I.R.C.C.S. Istituto Auxologico Italiano, Piancavallo, Italy; Department of Neuroscience, University of Torino, Turin, Italy.
  • Priano L; Neurology Unit, I.R.C.C.S. Istituto Auxologico Italiano, Piancavallo, Italy; Department of Neuroscience, University of Torino, Turin, Italy.
  • Spina A; Department of Neurosurgery and Gamma Knife Radiosurgery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
  • Iannaccone S; Department of Rehabilitation and Functional Recovery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University, Milan.
Arch Phys Med Rehabil ; 102(3): 359-362, 2021 03.
Article in English | MEDLINE | ID: covidwho-1064811
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiration, Artificial / Prone Position / Patient Positioning / COVID-19 / Nerve Compression Syndromes Type of study: Observational study / Prognostic study Limits: Adult / Aged / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Arch Phys Med Rehabil Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiration, Artificial / Prone Position / Patient Positioning / COVID-19 / Nerve Compression Syndromes Type of study: Observational study / Prognostic study Limits: Adult / Aged / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Arch Phys Med Rehabil Year: 2021 Document Type: Article