Vier Brandon R, Mombell Kyle W, Gagliano Erin L, King Nicole M, McDonald Lucas S
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.
Patient Saf Surg. 2019 Jun 11;13:21. doi: 10.1186/s13037-019-0202-8. eCollection 2019.
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.
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.
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.
肩关节镜检查是一种安全有效的手术，并发症发生率较低。虽然罕见，但存在潜在的危及生命的风险，如液体外渗导致气道受压。
我们报告一例65岁女性，接受关节镜下肩袖修补术，术中关节镜液体大量外渗，导致严重的面部和颈部肿胀。需要进行过夜插管以进行呼吸监测，直到水肿消退到足以安全拔管。
本病例突出了肩关节镜检查期间因液体外渗导致气道受压患者的危险因素和临床过程。虽然肩关节镜检查是一种安全的手术，但外科医生熟悉这种并发症的危险因素并进行密切监测有助于识别并采取适当的治疗措施。
