BACKGROUND: In 1987, Nuss developed a minimally invasive technique for the treatment of @entity1408 . The procedure has had excellent results with minimal complications. Anesthetic concerns include risks of @entity130 , dysrythmias, pneumothorax, @entity1143 , and @entity548 . In addition, we identified a risk of @entity2685 that can occur secondary to @entity1 positioning. We report our experience with the Nuss procedure and modified @entity1 positioning. METHODS: A retrospective chart review was performed on 95 @entity1 or adolescents who underwent a Nuss procedure at the @entity1 's Hospital in Denver, CO, USA. The first group of @entity1 (58) was positioned with their arms extended above their heads at a 90 degrees angle at the shoulder. The second group of @entity1 (37) was positioned in an arthroscopy sling in a neutral position utilizing a right angled suspension device attached to the operating room bed. RESULTS: In the first group of @entity1 , three of 58 (5.2%) @entity1 had transient @entity2685 . To date, in the second group of @entity1 , there have been no @entity2685 using the suspension device. CONCLUSIONS: We found that @entity1 are at risk of transient @entity2685 during the Nuss procedure due to positioning of the arms. A readily available device that permits the extremity to be maintained in a neutral position but also allows intraoperative manipulation during critical aspects of the Nuss procedure eliminates transient @entity5300 .

Positioning for the Nuss procedure: avoiding XXXX .

@entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusions'] @entity1 :: ('9606', 'Species') :: ['children', 'patients', 'Children', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity5300 :: ('MESH:D020516', 'Disease') :: ['brachial plexus palsy'] @entity1408 :: ('MESH:D005660', 'Disease') :: ['pectus excavatum'] @entity130 :: ('MESH:D014947', 'Disease') :: ['cardiothoracic injuries'] @entity2685 :: ('MESH:C536265', 'Disease') :: ['brachial plexus injuries', 'brachial plexus injury']
@entity2685 :: (MESH:C536265,Disease) :: ['brachial plexus injury']
