Perioperative medicine & outcomes
Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis
Authors' conclusion
Postoperative ulnar neuropathy is rare and the incidence is probably decreasing over time with general improvements in perioperative care.
Study context
- Population
- Patients after anaesthesia or surgery (postoperative ulnar neuropathy, postoperative ulnar neuropathy (PUN))83 articles
- Outcome
- Incidence of PUN
Methodological detailsthematic analysis, Electronic databases searched up to October 2022
- Thematic analysis
- Electronic databases searched up to October 2022
Pooled result
As reported in the abstract
- PUN occurs after ≈1 in 14 733 anaesthetics
- Highest risk: men aged 50-75 yr with pre-existing ulnar neuropathy
Further pooled results
Prevention and management
- Preventative measures (consensus and expert opinion) summarised; algorithm of suspected PUN management proposed
Original publication
Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis. Br J Anaesth. Published 15 May 2023. doi:10. 1016/ j. bja. 2023. 04. 010
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