Canadian frame and bilateral brachial plexus neurapraxia.
A reported case of postoperative bilateral brachial plexus neurapraxia associated with the use of a Canadian frame in a patient who had thoracolumbar spinal surgery under general anesthesia. Symmetrical misposition of the upper pads of the Canadian frame underneath both shoulder heads during prolonged surgery led to direct compression on or stretching of the bilateral brachial plexus. This complication should be prevented by carefully placing the patient on this sort of frame.
Oofuvong
Maliwan
M
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla 90110, Thailand. malewan@yahoo.com
D000328:Adult; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011187:Posture; D016103:Spinal Fractures / Q000601:surgery; D013131:Spine / Q000601:surgery*; D013523:Surgical Equipment / Q000009:adverse effects*