Chest wall swelling and pneumothorax after shoulder arthroscopy

Kim, Jong Bun; Choi, Min Kyung; Jeon, Yong Kyoung; Lee, Jae Myeong

doi:10.1097/md.0000000000007020

Cited by 9 publications

(10 citation statements)

References 10 publications

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“…Nevertheless, all incidents markedly improved within 24 h after the arthroscopic procedure [ 1 , 3 – 8 ]. Other respiratory complications, including pneumothorax, pulmonary edema, pleural effusion, and mediastinal effusion with airway compression, were also reported [ 9 – 11 ]. Besides previous complications, airway compromise caused by massive fluid extravasation is rarely associated with shoulder surgery, and also rarely occurs from pleural effusion [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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Patient: Female, 68-year-old Final Diagnosis: Pleural effusion Symptoms: Breathlessness • shortness of breath Medication: — Clinical Procedure: Arthroscopic Rotator Cuff repair Specialty: Orthopedics and Traumatology Objective: Unusual or unexpected effect of treatment Background: Airway compromise caused by massive fluid extravasation in association with arthroscopic shoulder surgery is rare. However, it is even more rare to occur as a result of pleural effusion. We present this case to increase the awareness of this rare complication and show how to minimize the likelihood of this uncommon incident. Case Report: We describe a case of a 68-year-old woman who underwent elective shoulder arthroscopy for rotator cuff repair. She had immediate postoperative shortness of breath and was found to have bilateral pulmonary edema and pleural effusion accompanied by metabolic acidosis. She was managed conservatively in the intensive care unit and then transferred to the general ward after clinical and radiological improvement the next day. Conclusions: This uncommon complication was self-limiting, and the patient recovered uneventfully. High clinical suspicion is required to address this event so proper rapid management can be made.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Twenty-five cases met the eligibility criteria (Fig. 3) [1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In twenty-four cases, the patient underwent general anesthesia and orotracheal intubation; in 9 of these, a plexus anesthetic block was also performed (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Vetrugno

Divella²,

Orso

et al. 2021

J Anesth Analg Crit Care

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Pneumomediastinum (PNM) and pneumothorax (PNX) are documented complications of arthroscopic shoulder surgery (ATS). Plexus anesthetic block and tracheal lesions during endotracheal intubation are hypothesized to be the underlying risk factors; however, the actual evidence supporting this hypothesis is scarce.A case of bilateral laterocervical emphysema, subcutaneous edema, and signs of PNM after ATS performed under general anesthesia and supra-scapular nerve block is presented. An up-to-date systematic review of PNM/PNX during orthopedic surgery was performed, involving six databases: PubMed (1996–present), Embase (1974–present), Scopus (2004–present), SpringerLink (1950–present), Ovid Emcare (1995–present), and Google Scholar (2004–present).Twenty-five case studies met the eligibility criteria. In 24 cases, the patient underwent general anesthesia and orotracheal intubation; in 9 of these, a plexus anesthetic block was also performed. One case involved ATS under plexus anesthetic block only. In 10 cases, the diagnostic finding was PNM. In 5 cases, the diagnostic finding was associated with PNX. PNX was detected in 17 cases. In 2 cases, SE was found in the absence of any evidence of either PNM or PNX. A tracheal lesion was identified in 3 cases.Endotracheal intubation and loco-regional anesthesia are not the only predisposing risk factors at play in the pathogenesis of PNM/PNX. Rather, multi-factorial pathogenesis seems more probable, necessitating that specific attention is paid during ATS to the change in patient position on the operating bed, to any slipping of the endotracheal tube, to patient monitoring whilst under the drapes, and to the cuff pressure. PROSPERO registration number: CRD42021260370.

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“…These variances remind us that a carefully inspection and the ability to make timely and accurate decision is crucial. For patients with long operation time, swelling of chest and neck and low arterial oxygen saturation after operation, chest X-ray should be performed after operation 7 . But the first thing that needs to be considered is whether the patient has access to x-rays.…”

Section: Discussionmentioning

confidence: 99%

Pneumothorax after shoulder arthroscopy: a case report and literature review

Tang

Liu

Chen

et al. 2021

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Chest wall swelling and pneumothorax after shoulder arthroscopy

Cited by 9 publications

References 10 publications

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

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

Tracheal lesion during shoulder surgery: a case report and systemic review of the literature

Pneumothorax after shoulder arthroscopy: a case report and literature review

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