Severe Peripheral Nerve Injury

  • Rayhan Tariq
  • S. Nini Malayaman
  • Hong Yan
  • Usama Iqbal
  • Mingqiang Li
  • Marcus Zebrower
  • Henry Liu


Nerve injuries can occur during general anesthesia as a result of patient positioning and/or tourniquet placement; during regional anesthesia, there is the potential for direct injury to the nerve. Risk factors are often multifactorial, and it is helpful to classify these into various categories: patient-related, anesthesia-related, and surgery-related causes. This chapter classifies identifiable risk factors and how they can be evaded. Clinical manifestations of commonly encountered nerve injuries are described, so the perioperative providers can quickly recognize a peripheral nerve deficit. The diagnosis can be aided by EMG, nerve stimulation, and certain imaging techniques. Early nerve repair results in improved functional outcomes. Surgical techniques and nonsurgical techniques are also described.


Nerve injury Regional anesthesia Nerve block Electromyography 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Rayhan Tariq
    • 1
  • S. Nini Malayaman
    • 1
  • Hong Yan
    • 2
  • Usama Iqbal
    • 1
  • Mingqiang Li
    • 3
  • Marcus Zebrower
    • 1
  • Henry Liu
    • 1
  1. 1.Department of Anesthesiology & Perioperative MedicineDrexel University College of Medicine, Hahnemann University HospitalPhiladelphiaUSA
  2. 2.Department of AnesthesiologyWuhan Central HospitalWuhanChina
  3. 3.Department of AnesthesiologyXiangyang Central HospitalXiangyangChina

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