From the American Hip Institute Research Foundation, Chicago, IL (Maldonado, Domb, and Lall), AMITA Health St. Alexius Medical Center, Hoffman Estates, IL (Domb and Lall), the American Hip Institute, Chicago, IL (Domb and Lall), Aurora Medical Center, Grafton, WI (Walker-Santiago), and Aurora Sinai Medical Center, Milwaukee, WI (Walker-Santiago).
J Am Acad Orthop Surg. 2021 Oct 15;29(20):862-871. doi: 10.5435/JAAOS-D-20-01057.
Arthroscopy has become increasingly relevant to various subspecialties within the orthopaedic surgery. From a patient safety standpoint and surgical efficiency standpoint, it is critical to know the fundamental concepts of fluid management such as those related to the fluid, pressure, and flow. A satisfactory field of view during arthroscopy can be achieved with the use of gravity-dependent or automated fluid management systems. Fluid management parameters and their physiological impact on the patient should be continuously monitored to avoid morbidity or delayed recovery. Local and systemic complications can occur from careless use of techniques that improve visualization such as tourniquet, epinephrine-diluted irrigation, and controlled hypotensive anesthesia. The purpose of this article is to review the fundamental concepts of fluid management in arthroscopy and the techniques to safely improve arthroscopic visualization.
关节镜技术在骨科各亚专业领域中的应用日益广泛。从患者安全和手术效率的角度来看，了解与液体相关的基本概念，如液体、压力和流量，至关重要。使用依赖重力或自动化的液体管理系统可以实现关节镜检查时满意的视野。应持续监测液体管理参数及其对患者的生理影响，以避免发病率或延迟恢复。使用一些可改善可视化的技术，如止血带、肾上腺素稀释冲洗液和控制性低血压麻醉，可能会导致局部和全身并发症。本文的目的是回顾关节镜检查中液体管理的基本概念，以及安全改善关节镜检查可视化的技术。
