Anaesthesia was maintained with 2% sevoflurane in 50 : 50 oxygen : nitrous oxide. After pre-oxygenation, anaesthesia was induced with intravenous fentanyl and thiopental, and tracheal intubation facilitated by atracurium. The blood pressure cuff was placed on her left upper arm and the measurements were performed every 5 min throughout the surgical procedure. Peroperative monitoring included non-invasive arterial blood pressure, ECG, pulse oximetry and expired gases. On arrival at the operating suite, an 18-G intravenous catheter was inserted in the dorsum of the left hand and an infusion of saline 0.9% was started.
She was not taking any medication regularly. She had an unremarkable previous medical history apart from a left pyelolithotomy under general anaesthesia 2 years previously. Case reportĪ 43-year-old, 80-kg female patient was scheduled for pyelolithotomy in the left lateral decubitus position because of a right renal pelvic stone.
We present a case of radial nerve injury following pyelolithotomy performed in the lateral decubitus position under general anaesthesia. However, radial neuropathies are infrequent. Ulnar neuropathy constituted one third of the injuries, the brachial plexus nerves 23% and the lumbosacral roots 16%. The American Society of Anaesthesiologists' (ASA's) Closed Claim Study showed that 15% of all claims were related to nerve injury. Its true incidence remains unclear and it is probably under-reported. Peripheral nerve injury is a rare complication following general anaesthesia.
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