Venipuncture-Related Lateral Antebrachial Cutaneous Nerve Injury in Primary Care Settings

Published:January 12, 2022DOI:


      • Nerve injury during antecubital venipuncture is rare.
      • Injury during antecubital venipuncture may cause paresthesia of the forearm related to lateral antebrachial cutaneous nerve injury.
      • Most of the neuropathic pain following venipuncture nerve injury resolves within 1 week to 6 months.


      Given the close proximity of nerves to veins commonly accessed for phlebotomy, venipuncture at the antecubital fossa has resulted in nerve injury, including damage to the lateral antebrachial cutaneous nerve. Although rare, direct needle trauma can cause paresthesia, radiating arm pain, and weakness of the hand or forearm. This case report describes a healthy female who experienced 3 weeks of venipuncture-related paresthesia and pain after an atraumatic venipuncture in the primary care setting.


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      Jessica Szydlowski Pitman, DNP, CRNA, ACNP, is an assistant clinical professor, Duke University School of Nursing, Durham, NC, and can be contacted at [email protected] .


      Emily M. Funk, DNP, CRNA, is an assistant clinical professor at Duke University School of Nursing, Durham, NC.


      Christian Falyar, DNAP, CRNA, is an assistant clinical professor at Duke University School of Nursing, Durham, NC.