Injury to the subclavian vein and artery
- Compression, suture of the vessel
- Injuries to the subclavian vein are difficult to control because the constricted space makes placement of vascular clamps nearly impossible (cell saver, occasional mass transfusion required)
Plexus injury
- e.g. intercostobrachial nerve; long thoracic nerve; dorsal scapular nerve; phrenic nerve
- Iatrogenic sharp plexus injury -> neurosurgeon consult
- if neurosurgeon unavailable: adaptive perineural suture with nonabsorbable monofilament stitches; leave tails long since this facilitates definitive treatment according to the deferred urgency protocol