Japanese

Iatrogenic Injury of Peripheral Nerves Yukio Horiuchi 1 1Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital Keyword: 医原性損傷 , 末梢神経損傷 , 針刺し損傷 , 複合性局所疼痛症候群 , インフォームドコンセント , iatrogenic injury , peripheral nerve injury , needle-stick injury , complex regional pain syndrome , informed consent pp.1459-1469
Published Date 2014/12/1
DOI https://doi.org/10.11477/mf.1416200060
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Abstract

There are many risks of iatrogenic peripheral-nerve injuries during routine medical procedures. These injuries may occur during venipuncture for drawing blood, endoscopic treatments, punctures of joints or ganglions, various kinds of surgical procedures, and in numerous other situations. It is important to create a "Manual" of such accidents or incidents. In case an accident occurs, both the medical staff and the injured patient should receive adequate support to avoid any anxiety. The doctor must examine the person's injury carefully, and must judge its severity as soon as possible. The doctor must also offer the patient a prompt explanation about their injury and its proper care or treatment. This explanation must be easy to understand. This step can reduce patient anxiety and even prevent the early stages of complex regional pain syndrome (CRPS).

One of my therapeutic strategies for treating early-stage CRPS is to use prednisolone for a short period for the treatment of strong pain and serious edema; the other approach is to do administer a warm-cold alternating bath with range-of-motion (ROM) exercise.

Creation of manuals and education of staff to quickly respond to such situations is extremely essential.


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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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