Upper limb surgery

2005 ◽  
pp. 145-164
Keyword(s):  
Upper Limb ◽  
Upper Limb Surgery

Comparison of clonidine and tramadol in supraclavicular block as adjuvant in upper limb surgery

2019 ◽  
Vol 12 (2) ◽  
pp. 116-121
Author(s):  
Bhavna H Sojitra ◽  
◽  
Malti J Pandya ◽  
Ronak Nagoria ◽  
◽  
...  
Keyword(s):  
Upper Limb ◽  
Upper Limb Surgery ◽  
Supraclavicular Block

scholarly journals 606 Mortality and Pulmonary Complications in Patients Undergoing Upper Extremity Surgery at The Peak of the SARS-Cov-2 Pandemic in the UK: A National Cohort Study Presented on Behalf of The Corona Hands Collaborative

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
B Dean ◽  
J Duncan
Keyword(s):  
Cohort Study ◽  
Upper Limb ◽  
Complication Rate ◽  
Postoperative Mortality ◽  
Primary Outcome Measure ◽  
Pulmonary Complications ◽  
Related Complication ◽  
Urgent Surgery ◽  
Upper Limb Surgery ◽  
The Uk

Abstract Introduction This study reports the 30-day mortality, SARS-CoV-2 complication rate and SARS-CoV-2 related hospital processes at the peak of the first wave of the pandemic in the UK. Method This national, multicentre, cohort study at 74 centres in the UK included all patients undergoing any surgery below the elbow at the peak of the UK pandemic. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. Results This analysis includes 1093 patients who underwent upper limb surgery from the 1st to the 14th of April 2020. The overall 30-day mortality was 0.09% and the mortality of day case surgery was zero. The SARS-CoV-2 complication rate was 0.18% (2 pneumonias) and the overall complication rate 6.6% (72 patients). Both SARS-CoV-2 related complications occurred in patients who had been hospitalised for a prolonged period before their surgery and a total of 19 patients (1.7%) were SARS-CoV-2 positive. Conclusions The SARS-CoV-2 related complication rate for upper limb surgery even at the peak of the UK pandemic was low at 0.18% and the mortality was zero for patients admitted on the day of surgery. Urgent surgery should not be delayed pending the results of SARS-CoV-2 testing.

Skeletal Muscle Surrogates for the Acquisition of Muscle Repair Skills in Upper Limb Surgery

2022 ◽  
Author(s):  
leonie heskin ◽  
Rose Galvin ◽  
Jack Conroy ◽  
Oscar Traynor ◽  
Stephen Madden ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Upper Limb ◽  
Muscle Repair ◽  
Upper Limb Surgery

Shingles Following Axillary Nerve Block a Case Report

1986 ◽  
Vol 11 (1) ◽  
pp. 115-116
Author(s):  
N. J. PERCIVAL
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Nerve Block ◽  
Upper Limb ◽  
Axillary Nerve ◽  
Nerve Blocks ◽  
Upper Limb Surgery ◽  
Axillary Nerve Block

Axillary nerve blocks are now frequently used for emergency and elective upper limb surgery. The method gives reliable anaesthesia with few complications. A case is described in which a patient developed Herpes Zoster following an Axillary Nerve Block, a hitherto unreported complication.

Toward Consensus in Assessing Upper Limb Muscle Strength and Pinch and Grip Strength in People With Tetraplegia Having Upper Limb Reconstructions

2021 ◽  
Author(s):  
Jennifer A. Dunn ◽  
Sabrina Koch-Borner ◽  
M. Elise Johanson ◽  
Johanna Wangdell
Keyword(s):  
Grip Strength ◽  
Upper Limb ◽  
Manual Muscle Testing ◽  
Pinch Strength ◽  
Consensus Methods ◽  
Serratus Anterior ◽  
Multicenter Studies ◽  
International Consensus ◽  
Muscle Testing ◽  
Upper Limb Surgery

Objectives: To reach agreement on standardized protocols for assessing upper limb strength and grip and pinch force for upper limb reconstructive surgery for tetraplegia. Methods: Selected members of an expert panel composed of international therapists formed at the 2018 International Congress for Upper Limb Surgery for Tetraplegia conducted a literature review of current practice that identified gaps and inconsistencies in measurement protocols and presented to workshop attendees. To resolve discrepancies, a set of questions was presented to workshop attendees who voted electronically. Consensus was set at 75% agreement. Results: For manual muscle testing, consensus was reached for using the Medical Research Council scale, without plus or minus, and the use of resistance through range when testing grade 4 and grade 5 strength. Pectoralis major and serratus anterior should be routinely tested, however there was no consensus on other shoulder muscles. Grip and pinch strength should be tested according to the American Society of Hand Therapists positioning. For grip strength, either the Jamar or Biometrics dynamometer expressed in kilograms should be used. For grip and pinch strength, three measurements should be performed at each testing. No consensus was reached on a device for pinch strength. Conclusion: This work is an important step to enable comparable data in the future. Further consensus methods will work toward developing more comprehensive guidelines in this population. Building international consensus for pre- and postoperative measures of function supports objective evaluation of novel therapies and interpretation of multicenter studies.

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