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Patient positioning and fixation using a Bluebag fixation system (Medical Intelligence, Schwabm\u00fcnchen, Germany) and a dedicated adjustable armrest were customised in the patient while awake. In order to provide safe conditions for mask ventilation and tracheal intubation, the patient was returned to standard supine positioning without changing the position of the armrest. Following the induction of general anaesthesia, the patient's arm was returned to the previously defined position. Upon completion of the procedure and emergence from anaesthesia, the patient immediately reported symptoms of severe brachial plexus damage. Therefore, we suggest that awake positioning according to current recommendations does not completely preclude the possibility of neurologic injury.<\/jats:p>","DOI":"10.1002\/anr3.12024","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T00:28:38Z","timestamp":1572395318000},"page":"79-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Peri\u2010operative brachial plexus injury following self\u2010positioning for stereotactic radiofrequency ablation"],"prefix":"10.1002","volume":"7","author":[{"given":"E.","family":"Hoerner","sequence":"first","affiliation":[{"name":"Medical University of Innsbruck Austria"},{"name":"Department of Anaesthesiology and Intensive Care Medicine Medical University of Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Bale","sequence":"additional","affiliation":[{"name":"Medical University of Innsbruck Austria"},{"name":"Department of Radiology, Interventional Oncology \u2010 Microinvasive Therapy (SIP) Medical University of Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Gasteiger","sequence":"additional","affiliation":[{"name":"Medical University of Innsbruck Austria"},{"name":"Department of Anaesthesiology and Intensive Care Medicine Medical University of Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Putzer","sequence":"additional","affiliation":[{"name":"Medical University of Innsbruck Austria"},{"name":"Department of Radiology, Interventional Oncology \u2010 Microinvasive Therapy (SIP) Medical University of Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10353-018-0521-5"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-011-2314-0"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001937"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181af61cb"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-008-1424-9"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14140"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01614.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.3126\/hren.v11i3.9643"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199904000-00020"},{"key":"e_1_2_5_11_1","first-page":"1947","article-title":"Acute shoulder injuries","volume":"70","author":"Quillen DM","year":"2004","journal-title":"American Family Physician"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12024","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12024","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:44:29Z","timestamp":1759941869000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1002\/anr3.12024"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12024","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"2019-09-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}