Effects of irrigation fluid in shoulder arthroscopy
Background and Aims: Extravasation of irrigation fluid used in shoulder arthroscopy can lead to life-threatening airway and systemic complications. This study was conducted to assess the effect of irrigation fluid absorption on measurable anthropometric parameters and to identify whether these param...
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2016-01-01
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doaj-b47267baf4244f909b698f1d0db938b32020-11-24T23:08:18ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492016-01-0160319419810.4103/0019-5049.177866Effects of irrigation fluid in shoulder arthroscopySurbhi GuptaM ManjuladeviK S Vasudeva UpadhyayaA M KutappaRajkumar AmaravathiJ ArpanaBackground and Aims: Extravasation of irrigation fluid used in shoulder arthroscopy can lead to life-threatening airway and systemic complications. This study was conducted to assess the effect of irrigation fluid absorption on measurable anthropometric parameters and to identify whether these parameters predict airway/respiratory compromise. Methods: Thirty six American Society of Anaesthesiologists physical status one or two patients aged 15–60 years undergoing shoulder arthroscopy under general anaesthesia were recruited. Measured variables preoperatively (baseline) and at the end of surgery were neck, chest, midarm and midthigh circumferences, weight, haemoglobin and serum sodium. Temperature, endotracheal tube cuff pressure, airway pressure, duration of surgery, amount of irrigation fluid and intravenous fluid used were also noted. Measured parameters were correlated with the duration of surgery and the amount of irrigation fluid used. Results: Postoperatively, the changes in variables showed a significant increase in the mean values (cm) for neck, chest, midarm and midthigh circumference (mean ± standard deviation: 2.35 ± 1.9, P < 0.001; 2.9 ± 3.88 cm, P < 0.001; 3.28 ± 2.44, P < 0.001 and 0.39 ± 0.71, P = 0.002, respectively) and weight (kg) (1.17 ± 1.24, P < 0.001). The post-operative haemoglobin (g/dL) levels decreased significantly (0.89 ± 1.23, P < 0.001) as compared to the baseline. No significant change was found in the serum sodium levels (P = 0.92). No patient experienced airway/respiratory compromise. Conclusion: Regional and systemic absorption of irrigation fluid in arthroscopic shoulder surgery is reflected in the degree of change in the measured anthropometric variables. However, this change was not significant enough to cause airway/respiratory compromise.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=3;spage=194;epage=198;aulast=GuptaAdverse effects, airway obstruction, arthroscopy, irrigation fluid, post-operative complications, shoulder joint |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Surbhi Gupta M Manjuladevi K S Vasudeva Upadhyaya A M Kutappa Rajkumar Amaravathi J Arpana |
spellingShingle |
Surbhi Gupta M Manjuladevi K S Vasudeva Upadhyaya A M Kutappa Rajkumar Amaravathi J Arpana Effects of irrigation fluid in shoulder arthroscopy Indian Journal of Anaesthesia Adverse effects, airway obstruction, arthroscopy, irrigation fluid, post-operative complications, shoulder joint |
author_facet |
Surbhi Gupta M Manjuladevi K S Vasudeva Upadhyaya A M Kutappa Rajkumar Amaravathi J Arpana |
author_sort |
Surbhi Gupta |
title |
Effects of irrigation fluid in shoulder arthroscopy |
title_short |
Effects of irrigation fluid in shoulder arthroscopy |
title_full |
Effects of irrigation fluid in shoulder arthroscopy |
title_fullStr |
Effects of irrigation fluid in shoulder arthroscopy |
title_full_unstemmed |
Effects of irrigation fluid in shoulder arthroscopy |
title_sort |
effects of irrigation fluid in shoulder arthroscopy |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Anaesthesia |
issn |
0019-5049 |
publishDate |
2016-01-01 |
description |
Background and Aims: Extravasation of irrigation fluid used in shoulder arthroscopy can lead to life-threatening airway and systemic complications. This study was conducted to assess the effect of irrigation fluid absorption on measurable anthropometric parameters and to identify whether these parameters predict airway/respiratory compromise. Methods: Thirty six American Society of Anaesthesiologists physical status one or two patients aged 15–60 years undergoing shoulder arthroscopy under general anaesthesia were recruited. Measured variables preoperatively (baseline) and at the end of surgery were neck, chest, midarm and midthigh circumferences, weight, haemoglobin and serum sodium. Temperature, endotracheal tube cuff pressure, airway pressure, duration of surgery, amount of irrigation fluid and intravenous fluid used were also noted. Measured parameters were correlated with the duration of surgery and the amount of irrigation fluid used. Results: Postoperatively, the changes in variables showed a significant increase in the mean values (cm) for neck, chest, midarm and midthigh circumference (mean ± standard deviation: 2.35 ± 1.9, P < 0.001; 2.9 ± 3.88 cm, P < 0.001; 3.28 ± 2.44, P < 0.001 and 0.39 ± 0.71, P = 0.002, respectively) and weight (kg) (1.17 ± 1.24, P < 0.001). The post-operative haemoglobin (g/dL) levels decreased significantly (0.89 ± 1.23, P < 0.001) as compared to the baseline. No significant change was found in the serum sodium levels (P = 0.92). No patient experienced airway/respiratory compromise. Conclusion: Regional and systemic absorption of irrigation fluid in arthroscopic shoulder surgery is reflected in the degree of change in the measured anthropometric variables. However, this change was not significant enough to cause airway/respiratory compromise. |
topic |
Adverse effects, airway obstruction, arthroscopy, irrigation fluid, post-operative complications, shoulder joint |
url |
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=3;spage=194;epage=198;aulast=Gupta |
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