Iatrogenic Neuromuscular Disorders: A Review

Open Access
Publisher Website
Google Scholar
Abstract
The frequency of iatrogenic neuromuscular disorders has only recently been appreciated. Pressure palsies, especially common peroneal nerve palsies following bed rest or surgical procedures, are well recognized and easily preventable disorders. Mononeuropathies may also result from direct injuries to nerves, especially from venepuncture or attempted arterial cannulation in the axilla (O'Keefe 1980) or antecubital fossa, when the median nerve is particularly at risk. Stretch injuries to the lower cervical roots or to the lower cords of the brachial plexus may complicate sternal thoracotomy (Winer & Harrison 1982). However, most iatrogenic disorders of nerve and muscle are due to the unwanted effects of drugs used in therapeutic dosage. They are thus difficult to prevent. However, early detection is possible and this may prevent the development of severe disabilities.