Extravasation of Fluid in Arthroscopic Shoulder Surgery Requiring Prolonged Intubation: a Case Report

Overview

Journal Patient Saf Surg

Publisher Biomed Central

Date 2019 Jun 18

PMID 31205484

Citations 3

Authors

Brandon R Vier

Kyle W Mombell

Erin L Gagliano

Nicole M King

Lucas S McDonald

Affiliations

Soon will be listed here.

Abstract

Background: Shoulder arthroscopy is a safe and effective procedure with a low complication rate. Although rare, there are potentially life-threatening risks such as fluid extravasation causing airway compromise.

Case Presentation: We report the case of a 65-year-old female treated with an arthroscopic rotator cuff repair who had significant extravasation of arthroscopic fluid causing severe facial and neck swelling. Overnight intubation was required for respiratory monitoring until the edema had resolved enough to allow safe extubation.

Conclusion: This case highlights the risk factors and clinical course of a patient with airway compromise caused by extravasation of fluid during shoulder arthroscopy. Although shoulder arthroscopy is a safe procedure, surgeon familiarity with the risk factors for this complication and close monitoring can aid in its identification and allow for appropriate treatment.

Citing Articles

The Safety Assessment of Irrigation Fluid Management for Shoulder Arthroscopy and Its Effect on Postoperative Efficacy.

Zhuang C, Yang R, Xu Y, Song Y, Zhang Y, Liu J Orthop Surg. 2022; 15(8):2016-2024.

PMID: 36573289 PMC: 10432476. DOI: 10.1111/os.13619.

The effects of shoulder arthroscopy on ultrasound image quality of the interscalene brachial plexus: a pre-procedure vs post-procedure comparative study.

Panchamia J, Jagannathan R, Pulos B, Amundson A, Sanchez-Sotelo J, Martin D BMC Anesthesiol. 2021; 21(1):187.

PMID: 34243720 PMC: 8268244. DOI: 10.1186/s12871-021-01409-3.

Acute Respiratory Distress and Hyperchloremic Metabolic Acidosis as a Result of Massive Irrigation Fluid Extravasation After Arthroscopic Shoulder Surgery: A Case Report and Recommendations for Preventable Complications.

Abutalib R, Alamri A, Aqel S, Alhumaidi I, Almohini I Am J Case Rep. 2020; 21:e926357.

PMID: 33184253 PMC: 7672508. DOI: 10.12659/AJCR.926357.

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