Shoulder arthroscopy and complications: Can we afford to relax?

Bhaskar, S Bala; Manjuladevi, M

doi:10.4103/0019-5049.158729

Cited by 16 publications

(14 citation statements)

References 18 publications

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“…19 In the early postoperative period (in PACU), we found increased pain in the SSAX group. Irrigation fluid from the arthroscopic procedure may take up to 12 hours to be absorbed, 20 and capsular overdistension as well as pain from nonblocked areas may explain this increased pain. The lateral pectoral, subscapularis, and musculocutaneous nerves contribute to the innervation of the anterior joint capsule and are not blocked with this technique.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Combined Suprascapular and Axillary Nerve Blocks to Interscalene Nerve Block for Analgesia in Arthroscopic Shoulder Surgery

Dhir¹,

Sondekoppam

Sharma

et al. 2016

Regional Anesthesia and Pain Medicine

112

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Combined suprascapular and axillary nerve block provides nonequivalent analgesia compared with ISB after arthroscopic shoulder surgery. While SSAX provides better quality pain relief at rest and fewer adverse effects at 24 hours, ISB provides better analgesia in the immediate postoperative period. For arthroscopic shoulder surgery, SSAX can be a clinically acceptable analgesic option with different analgesic profile compared with ISB.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Combined Suprascapular and Axillary Nerve Blocks to Interscalene Nerve Block for Analgesia in Arthroscopic Shoulder Surgery

Dhir¹,

Sondekoppam

Sharma

et al. 2016

Regional Anesthesia and Pain Medicine

112

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show abstract

“…Isosmotic saline is commonly used in shoulder arthroscopy. However, it may lead a large amount of extravasation into the periarticular tissue space during long time surgery [6,25]. Lo reported the weight gain of patients would increase to 3.95 ± 1.77 kg after surgery [26].…”

Section: Discussionmentioning

confidence: 99%

“…Complications caused by irrigation have been paid more and more attention [6]. Borgeat reported a case of life-threatening respiratory distress by the large extravasation [7].…”

Section: Introductionmentioning

confidence: 99%

Pulmonary edema lead by circulation overload following shoulder arthroscopy under general anesthesia with nerve block: an observational study

Zhang

Wan

Huang

et al. 2020

Preprint

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Purpose : Shoulder arthroscopy requires a large of irrigation for a better surgical view, resulting in circulatory overload. This study was performed to p rove whether pulmonary edema will be lead by a large of irrigation . Materials and Methods : General anesthesia with interscalene block was induced before operation. The primary outcome was ultrasound evaluation of B lines from the time before nerve block to the time 10 hours after operation. The secondary outcomes included oxygenation index, arterial partial pressure of carbon dioxide, visual analogue scale, muscle strength grade. Results : A total of 93 patients were evaluated. Before surgery, B lines failed to be detected. While the highest total incidence of B lines was 49.4%, occured at 4 hours after surgery. The highest incidence s of severe and moderate pulmonary edema were 3.2% (P=0.081) and 9.7% (P=0.002), respectively. B lines were also found on both the affected and healthy side. During operation, the incidence of type 1 respiratory failure was 5.4% (P=0.023) and that of both type 1 and 2 respiratory failure were 6.5% (P=0.013). Pain was relieved in 6 hours after surgery (VAS<3). At 12 hours after operation, the VAS of resting and motion were 4.68±2.27, 6.90±2.43, respectively. While the grade of muscle strength was 4.48±0.51 at 12 hours after operation. Conclusions : There is a high incidence of pulmonary edema in shoulder arthroscopy, and ultrasound is an convenient tool to evaluate this complication . Pain is relieved in 6 hours after surgery by nerve block. While muscle strength can also recover at 12 hours after surgery.

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“…However, as other authors have noted, the all-arthroscopic AMIC technique can be associated with some complications (collagen allergy, matrix detachment or mobilization, hyper-proliferative healing reaction, and the complications of shoulder arthroscopy). 12,17 In our limited experience with the described technique, magnetic resonance imaging control scans have allowed us to confirm the stability of the implanted membranes (2-and 7-month magnetic resonance imaging scans). It is possible to apply the AMIC technique all-arthroscopically in the glenohumeral joint, allowing an easy approach to the articular surface for application of matrixes on the humeral and glenoid surfaces.…”

Section: Cartilage Defects In the Shouldermentioning

confidence: 99%

The Use of All-Arthroscopic Autologous Matrix-Induced Chondrogenesis for the Management of Humeral and Glenoid Chondral Defects in the Shoulder

Cuéllar

Ibán

Cuéllar

2016

Arthroscopy Techniques

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Autologous matrix-induced chondrogenesis (AMIC) is often used for treating chondral defects in different joints. We describe an all-arthroscopic approach for the treatment of glenoid and humeral chondral lesions with this technique. AMIC starts with the use of microfractures of the damaged cartilage, followed by coverage of the defect with a type I/III collagen matrix (Chondro-Gide; Geistlich Pharma, Wolhusen, Switzerland) that is fixed with fibrin glue (Tissucol; Baxter, Warsaw, Poland). In a 1-step approach, the unstable cartilage is debrided, microfractures that penetrate up to the subchondral bone are performed, and the membranes are pasted to the lesion. Our technique reduces morbidity rates compared with traditional open surgery. The arthroscopic AMIC procedure is a viable, cost-effective treatment for the repair of chondral lesions of the shoulder.

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Shoulder arthroscopy and complications: Can we afford to relax?

Cited by 16 publications

References 18 publications

A Comparison of Combined Suprascapular and Axillary Nerve Blocks to Interscalene Nerve Block for Analgesia in Arthroscopic Shoulder Surgery

A Comparison of Combined Suprascapular and Axillary Nerve Blocks to Interscalene Nerve Block for Analgesia in Arthroscopic Shoulder Surgery

Pulmonary edema lead by circulation overload following shoulder arthroscopy under general anesthesia with nerve block: an observational study

The Use of All-Arthroscopic Autologous Matrix-Induced Chondrogenesis for the Management of Humeral and Glenoid Chondral Defects in the Shoulder

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