Tags

Type your tag names separated by a space and hit enter

Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report.

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.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • FREE Publisher Full Text
  • Authors+Show Affiliations

    ,

    1Department of Orthopedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA USA.

    ,

    1Department of Orthopedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA USA.

    ,

    2Department of Anesthesia, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA USA.

    ,

    2Department of Anesthesia, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA USA.

    1Department of Orthopedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA USA.

    Source

    Pub Type(s)

    Case Reports

    Language

    eng

    PubMed ID

    31205484

    Citation

    Vier, Brandon R., et al. "Extravasation of Fluid in Arthroscopic Shoulder Surgery Requiring Prolonged Intubation: a Case Report." Patient Safety in Surgery, vol. 13, 2019, p. 21.
    Vier BR, Mombell KW, Gagliano EL, et al. Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report. Patient Saf Surg. 2019;13:21.
    Vier, B. R., Mombell, K. W., Gagliano, E. L., King, N. M., & McDonald, L. S. (2019). Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report. Patient Safety in Surgery, 13, p. 21. doi:10.1186/s13037-019-0202-8.
    Vier BR, et al. Extravasation of Fluid in Arthroscopic Shoulder Surgery Requiring Prolonged Intubation: a Case Report. Patient Saf Surg. 2019;13:21. PubMed PMID: 31205484.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report. AU - Vier,Brandon R, AU - Mombell,Kyle W, AU - Gagliano,Erin L, AU - King,Nicole M, AU - McDonald,Lucas S, Y1 - 2019/06/11/ PY - 2018/12/31/received PY - 2019/05/28/accepted PY - 2019/6/18/entrez PY - 2019/6/18/pubmed PY - 2019/6/18/medline KW - Airway KW - Arthroscopy KW - Fluid extravasation KW - Shoulder SP - 21 EP - 21 JF - Patient safety in surgery JO - Patient Saf Surg VL - 13 N2 - 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. SN - 1754-9493 UR - https://www.unboundmedicine.com/medline/citation/31205484/Extravasation_of_fluid_in_arthroscopic_shoulder_surgery_requiring_prolonged_intubation:_a_case_report L2 - https://pssjournal.biomedcentral.com/articles/10.1186/s13037-019-0202-8 DB - PRIME DP - Unbound Medicine ER -