Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies 2018 An Updated Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies *

Update Highlights This Practice Advisory updates the “Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies: An Updated Report by the American Society of Anesthesiologists Task Force on the Prevention of Perioperative Peripheral Neuropathies,” adopted by the American Society of Anesthesiologists in 2010 and published in 201 1.†† In October 2016, the Committee on Standards and Practice Parameters elected to search for new evidence to determine if recommendations in the existing Practice Advisory continue to be supported by current evidence. The resultant Advisory, presented in this issue, includes an update of the s cientific literature and an updated format for individual recommendations. Seven hundred and ninety-five new citations covering the period of January 1, 1999, through July 31, 2009, were identified and reviewed, with 31 new studies meeting the inclusion/exclusion criteria established by the Task For ce. These studies were combined with studies reviewed and accepted by the previous update, resulting in a total of 114 articles found acceptable as evidence. The new literature consisted entirely of observational findings or case reports that found neuropathies occurring in brachial plexus, ulnar, r adial, sciatic, femoral, and peroneal (fibular) nerves. The evidence continues to support the existing recommendations that address positioning strategies, protective padding, and proper placement of equipment as useful preventative actions. T...

Source: Anesthesiology - December 12, 2017 Category: Anesthesiology Source Type: research