Severe airway obstruction and pleural effusion after arthroscopic shoulder surgery: a case report

Ko, Sang Hun; Jung, Kwang Hwan; Cha, Jae Ryong; Min, Su; Choe, Chang-Gyu

doi:10.14517/aosm14016

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Other respiratory complications, including pneumothorax, pulmonary edema, pleural effusion, and mediastinal effusion with airway compression, were also reported [ 9 – 11 ]. Besides previous complications, airway compromise caused by massive fluid extravasation is rarely associated with shoulder surgery, and also rarely occurs from pleural effusion [ 12 ]. In this report, we describe a woman who underwent elective shoulder arthroscopy and had immediate postoperative breathing difficulty and pleural effusion.…”

Section: Introductionmentioning

confidence: 99%

“…In this report, we describe a woman who underwent elective shoulder arthroscopy and had immediate postoperative breathing difficulty and pleural effusion. This complication is addressed as a life-threatening airway compromise that might occur if not managed properly [ 12 ]. The unique presentation in this case that was not observed in previous reports is the development of hyperchloremic metabolic acidosis as a result of systemic absorption of extravasated irrigation fluid.…”

Section: Introductionmentioning

confidence: 99%

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Acute Respiratory Distress and Hyperchloremic Metabolic Acidosis as a Result of Massive Irrigation Fluid Extravasation After Arthroscopic Shoulder Surgery: A Case Report and Recommendations for Preventable Complications

et al. 2020

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Patient: Female, 68-year-old Final Diagnosis: Pleural effusion Symptoms: Breathlessness • shortness of breath Medication: — Clinical Procedure: Arthroscopic Rotator Cuff repair Specialty: Orthopedics and Traumatology Objective: Unusual or unexpected effect of treatment Background: Airway compromise caused by massive fluid extravasation in association with arthroscopic shoulder surgery is rare. However, it is even more rare to occur as a result of pleural effusion. We present this case to increase the awareness of this rare complication and show how to minimize the likelihood of this uncommon incident. Case Report: We describe a case of a 68-year-old woman who underwent elective shoulder arthroscopy for rotator cuff repair. She had immediate postoperative shortness of breath and was found to have bilateral pulmonary edema and pleural effusion accompanied by metabolic acidosis. She was managed conservatively in the intensive care unit and then transferred to the general ward after clinical and radiological improvement the next day. Conclusions: This uncommon complication was self-limiting, and the patient recovered uneventfully. High clinical suspicion is required to address this event so proper rapid management can be made.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%