Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients
Purpose Anesthetic management for patients with Charcot–Marie–Tooth disease (CMT) is controversial. Description of the use of regional anesthesia (RA) in patients with CMT is limited. Regional anesthesia has traditionally been avoided because of risk of nerve injury. We retrospectively reviewed pati...
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| Veröffentlicht in: | Canadian journal of anesthesia 2022-07, Vol.69 (7), p.880-884 |
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| container_title | Canadian journal of anesthesia |
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| creator | McClain, Robert L. Rubin, Devon I. Bais, Kimmy S. Navarro, Antonio M. Robards, Christopher B. Porter, Steven B. |
| description | Purpose
Anesthetic management for patients with Charcot–Marie–Tooth disease (CMT) is controversial. Description of the use of regional anesthesia (RA) in patients with CMT is limited. Regional anesthesia has traditionally been avoided because of risk of nerve injury. We retrospectively reviewed patients with CMT who received RA at our institution.
Methods
We performed a historical cohort study of all patients with CMT who received RA from 30 April 2010 to 30 April 2020 within our institution. Charts were reviewed for information on demographics, RA procedures, perioperative variables, evidence of neurologic complications, post-RA neurology consults, and perioperative electromyography (EMG) results. Electromyographs were reviewed by a neurologist who was blinded to the surgical and RA details.
Results
Fifty-three patients received a total of 132 regional anesthetics during the study period. Twenty-five patients received RA on more than one occasion. Fifty-five EMGs and 14 postoperative neurology consults were performed. Two patients had neurology consults with peripheral nerve block (PNB) distribution complaints years later. Neither attributed the complaints to the PNB. The other neurology consults were for unrelated complaints. No EMG results suggested injury related to PNB.
Conclusion
This study found no evidence of documented neurologic complications or an increased risk of nerve injury related to RA in CMT patients. |
| doi_str_mv | 10.1007/s12630-022-02258-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2655563597</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2655563597</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-277a84eda391d8c06c516436b1d246e8b0a1fe9dd91837a8f0c39548341aa5203</originalsourceid><addsrcrecordid>eNp9kc9qVDEUh0OpONPqC3RRAt24uXry9ybuZFArVARpwV3I5Ob2Zpi5mSa5yOx8B9_QJzHTqRW66CIcSL7zhXN-CJ0ReEsA2neZUMmgAUr3R6hGHKE54Vo2SrfiGM1BMdpIAj9m6CTnFQAoKdRLNGOCSw2cztH43d-GONo1tqPPZfA5WBxGvLUl-LFk_DOUAS8Gm1wsf379_mpT8LVex1jvu5C9zf49tngIucQUXDW5OMRUcC5Tt8Oxx4I96l6hF71dZ__6oZ6im08frxeXzdW3z18WH64ax4kuDW1bq7jvLNOkUw6kE0RyJpeko1x6tQRLeq-7ThPFKtqDY1pwxTixVlBgp-jNwbtN8W6qg5lNyM6v13XKOGVDpRBCMqHbil48QVdxSnUje0qpVioBvFL0QLkUc06-N9sUNjbtDAGzT8Mc0jA1CXOfhhG16fxBPS03vnts-bf-CrADkOvTeOvT_7-f0f4Fdh2WpA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2688768504</pqid></control><display><type>article</type><title>Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>McClain, Robert L. ; Rubin, Devon I. ; Bais, Kimmy S. ; Navarro, Antonio M. ; Robards, Christopher B. ; Porter, Steven B.</creator><creatorcontrib>McClain, Robert L. ; Rubin, Devon I. ; Bais, Kimmy S. ; Navarro, Antonio M. ; Robards, Christopher B. ; Porter, Steven B.</creatorcontrib><description>Purpose
Anesthetic management for patients with Charcot–Marie–Tooth disease (CMT) is controversial. Description of the use of regional anesthesia (RA) in patients with CMT is limited. Regional anesthesia has traditionally been avoided because of risk of nerve injury. We retrospectively reviewed patients with CMT who received RA at our institution.
Methods
We performed a historical cohort study of all patients with CMT who received RA from 30 April 2010 to 30 April 2020 within our institution. Charts were reviewed for information on demographics, RA procedures, perioperative variables, evidence of neurologic complications, post-RA neurology consults, and perioperative electromyography (EMG) results. Electromyographs were reviewed by a neurologist who was blinded to the surgical and RA details.
Results
Fifty-three patients received a total of 132 regional anesthetics during the study period. Twenty-five patients received RA on more than one occasion. Fifty-five EMGs and 14 postoperative neurology consults were performed. Two patients had neurology consults with peripheral nerve block (PNB) distribution complaints years later. Neither attributed the complaints to the PNB. The other neurology consults were for unrelated complaints. No EMG results suggested injury related to PNB.
Conclusion
This study found no evidence of documented neurologic complications or an increased risk of nerve injury related to RA in CMT patients.</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/s12630-022-02258-5</identifier><identifier>PMID: 35469042</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Anesthesia, Conduction ; Anesthesiology ; Cardiology ; Case Reports ; Case Series ; Charcot-Marie-Tooth Disease - complications ; Charcot-Marie-Tooth Disease - surgery ; Cohort analysis ; Cohort Studies ; Critical Care Medicine ; Electromyography ; Female ; Humans ; Intensive ; Medicine ; Medicine & Public Health ; Neurology ; Pain Medicine ; Pediatrics ; Peripheral Nerves ; Pneumology/Respiratory System ; Pregnancy Complications ; Regional anesthesia ; Regional Anesthesia and Acute Pain ; Retrospective Studies</subject><ispartof>Canadian journal of anesthesia, 2022-07, Vol.69 (7), p.880-884</ispartof><rights>Canadian Anesthesiologists' Society 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. Canadian Anesthesiologists' Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-277a84eda391d8c06c516436b1d246e8b0a1fe9dd91837a8f0c39548341aa5203</citedby><cites>FETCH-LOGICAL-c419t-277a84eda391d8c06c516436b1d246e8b0a1fe9dd91837a8f0c39548341aa5203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12630-022-02258-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12630-022-02258-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35469042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McClain, Robert L.</creatorcontrib><creatorcontrib>Rubin, Devon I.</creatorcontrib><creatorcontrib>Bais, Kimmy S.</creatorcontrib><creatorcontrib>Navarro, Antonio M.</creatorcontrib><creatorcontrib>Robards, Christopher B.</creatorcontrib><creatorcontrib>Porter, Steven B.</creatorcontrib><title>Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anesth/J Can Anesth</addtitle><addtitle>Can J Anaesth</addtitle><description>Purpose
Anesthetic management for patients with Charcot–Marie–Tooth disease (CMT) is controversial. Description of the use of regional anesthesia (RA) in patients with CMT is limited. Regional anesthesia has traditionally been avoided because of risk of nerve injury. We retrospectively reviewed patients with CMT who received RA at our institution.
Methods
We performed a historical cohort study of all patients with CMT who received RA from 30 April 2010 to 30 April 2020 within our institution. Charts were reviewed for information on demographics, RA procedures, perioperative variables, evidence of neurologic complications, post-RA neurology consults, and perioperative electromyography (EMG) results. Electromyographs were reviewed by a neurologist who was blinded to the surgical and RA details.
Results
Fifty-three patients received a total of 132 regional anesthetics during the study period. Twenty-five patients received RA on more than one occasion. Fifty-five EMGs and 14 postoperative neurology consults were performed. Two patients had neurology consults with peripheral nerve block (PNB) distribution complaints years later. Neither attributed the complaints to the PNB. The other neurology consults were for unrelated complaints. No EMG results suggested injury related to PNB.
Conclusion
This study found no evidence of documented neurologic complications or an increased risk of nerve injury related to RA in CMT patients.</description><subject>Anesthesia, Conduction</subject><subject>Anesthesiology</subject><subject>Cardiology</subject><subject>Case Reports</subject><subject>Case Series</subject><subject>Charcot-Marie-Tooth Disease - complications</subject><subject>Charcot-Marie-Tooth Disease - surgery</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Critical Care Medicine</subject><subject>Electromyography</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Peripheral Nerves</subject><subject>Pneumology/Respiratory System</subject><subject>Pregnancy Complications</subject><subject>Regional anesthesia</subject><subject>Regional Anesthesia and Acute Pain</subject><subject>Retrospective Studies</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9qVDEUh0OpONPqC3RRAt24uXry9ybuZFArVARpwV3I5Ob2Zpi5mSa5yOx8B9_QJzHTqRW66CIcSL7zhXN-CJ0ReEsA2neZUMmgAUr3R6hGHKE54Vo2SrfiGM1BMdpIAj9m6CTnFQAoKdRLNGOCSw2cztH43d-GONo1tqPPZfA5WBxGvLUl-LFk_DOUAS8Gm1wsf379_mpT8LVex1jvu5C9zf49tngIucQUXDW5OMRUcC5Tt8Oxx4I96l6hF71dZ__6oZ6im08frxeXzdW3z18WH64ax4kuDW1bq7jvLNOkUw6kE0RyJpeko1x6tQRLeq-7ThPFKtqDY1pwxTixVlBgp-jNwbtN8W6qg5lNyM6v13XKOGVDpRBCMqHbil48QVdxSnUje0qpVioBvFL0QLkUc06-N9sUNjbtDAGzT8Mc0jA1CXOfhhG16fxBPS03vnts-bf-CrADkOvTeOvT_7-f0f4Fdh2WpA</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>McClain, Robert L.</creator><creator>Rubin, Devon I.</creator><creator>Bais, Kimmy S.</creator><creator>Navarro, Antonio M.</creator><creator>Robards, Christopher B.</creator><creator>Porter, Steven B.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20220701</creationdate><title>Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients</title><author>McClain, Robert L. ; Rubin, Devon I. ; Bais, Kimmy S. ; Navarro, Antonio M. ; Robards, Christopher B. ; Porter, Steven B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-277a84eda391d8c06c516436b1d246e8b0a1fe9dd91837a8f0c39548341aa5203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia, Conduction</topic><topic>Anesthesiology</topic><topic>Cardiology</topic><topic>Case Reports</topic><topic>Case Series</topic><topic>Charcot-Marie-Tooth Disease - complications</topic><topic>Charcot-Marie-Tooth Disease - surgery</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Critical Care Medicine</topic><topic>Electromyography</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Peripheral Nerves</topic><topic>Pneumology/Respiratory System</topic><topic>Pregnancy Complications</topic><topic>Regional anesthesia</topic><topic>Regional Anesthesia and Acute Pain</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McClain, Robert L.</creatorcontrib><creatorcontrib>Rubin, Devon I.</creatorcontrib><creatorcontrib>Bais, Kimmy S.</creatorcontrib><creatorcontrib>Navarro, Antonio M.</creatorcontrib><creatorcontrib>Robards, Christopher B.</creatorcontrib><creatorcontrib>Porter, Steven B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McClain, Robert L.</au><au>Rubin, Devon I.</au><au>Bais, Kimmy S.</au><au>Navarro, Antonio M.</au><au>Robards, Christopher B.</au><au>Porter, Steven B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients</atitle><jtitle>Canadian journal of anesthesia</jtitle><stitle>Can J Anesth/J Can Anesth</stitle><addtitle>Can J Anaesth</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>69</volume><issue>7</issue><spage>880</spage><epage>884</epage><pages>880-884</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><abstract>Purpose
Anesthetic management for patients with Charcot–Marie–Tooth disease (CMT) is controversial. Description of the use of regional anesthesia (RA) in patients with CMT is limited. Regional anesthesia has traditionally been avoided because of risk of nerve injury. We retrospectively reviewed patients with CMT who received RA at our institution.
Methods
We performed a historical cohort study of all patients with CMT who received RA from 30 April 2010 to 30 April 2020 within our institution. Charts were reviewed for information on demographics, RA procedures, perioperative variables, evidence of neurologic complications, post-RA neurology consults, and perioperative electromyography (EMG) results. Electromyographs were reviewed by a neurologist who was blinded to the surgical and RA details.
Results
Fifty-three patients received a total of 132 regional anesthetics during the study period. Twenty-five patients received RA on more than one occasion. Fifty-five EMGs and 14 postoperative neurology consults were performed. Two patients had neurology consults with peripheral nerve block (PNB) distribution complaints years later. Neither attributed the complaints to the PNB. The other neurology consults were for unrelated complaints. No EMG results suggested injury related to PNB.
Conclusion
This study found no evidence of documented neurologic complications or an increased risk of nerve injury related to RA in CMT patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35469042</pmid><doi>10.1007/s12630-022-02258-5</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0832-610X |
| ispartof | Canadian journal of anesthesia, 2022-07, Vol.69 (7), p.880-884 |
| issn | 0832-610X 1496-8975 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Anesthesia, Conduction Anesthesiology Cardiology Case Reports Case Series Charcot-Marie-Tooth Disease - complications Charcot-Marie-Tooth Disease - surgery Cohort analysis Cohort Studies Critical Care Medicine Electromyography Female Humans Intensive Medicine Medicine & Public Health Neurology Pain Medicine Pediatrics Peripheral Nerves Pneumology/Respiratory System Pregnancy Complications Regional anesthesia Regional Anesthesia and Acute Pain Retrospective Studies |
| title | Regional anesthesia in patients with Charcot–Marie–Tooth disease: a historical cohort study of 53 patients |
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