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述评:髋关节镜检查(不是腹部!)!

Editorial Commentary: Arthroscopy of the Hip (Not the Abdomen!).

机构信息

Harvard Medical School.

出版信息

Arthroscopy. 2020 Jan;36(1):148-149. doi: 10.1016/j.arthro.2019.10.025.

DOI:10.1016/j.arthro.2019.10.025
PMID:31864568
Abstract

Hip arthroscopists and the surgical team should be aware of the potential complication of intra-abdominal fluid extravasation (IAFE). Fluid extravasation may be relatively common. Fortunately, symptomatic IAFE remains rare but can be serious. Increased peak inspiratory pressure (PIP) should be a parameter that we follow and discuss with our anesthesia colleagues. This would be an excellent point to bring up during the mandatory preoperative time out. Increased PIP or hemodynamic instability should warrant a consideration of IAFE.

摘要

髋关节镜医师和手术团队应该意识到腹腔内液体外渗(IAFE)的潜在并发症。液体外渗可能相对常见。幸运的是,症状性 IAFE 仍然很少见,但可能很严重。增加吸气峰压(PIP)应该是我们关注的参数,并与麻醉科同事讨论。这将是在强制性术前暂停期间提出的一个很好的观点。增加的 PIP 或血流动力学不稳定应该考虑 IAFE。

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