Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia

Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia

Abstract A number of complications have been ascribed to shoulder arthroscopy, but pulmonary edema is rarely reported. A 64-year-old female underwent right shoulder arthroscopic repair for supraspinatus and subscapular tears under intermuscular sulcus brachial plexus block (ISBPB) and general anesthesia. Finishing suture of torn tendon, and acromion and distal clavicle plasty, the patient represented the symptoms of dyspnea, and oxygen saturation quickly dropped to 80% without oxygen supply. After inhaled oxygen, the oxygen saturation quickly returned to 95%, while dyspnea didn’t improve. Noticing swelling in neck and chest, left movement of the trachea, low breath sounds and wet rales during auscultation, ultrasound examination was performed and found the obvious pleural slip, and a large number of b-lines in the lung, indicating pulmonary edema. After injection of furosemide and dexamethasone (i.v.), the outcome of patient was satisfactory. This is the first report of pulmonary edema as a complication of shoulder arthroscopy, which also reviews the relevant factors of fluid extravasation, and highlights the good use of the equipment at hand to quickly judge the patient's condition.

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Main Authors: LIN,Fei, WAN,Qihai, ZHANG,Gang, SU,Li, LUO,Chunqiong, SHUI,Yunhua, ZENG,Si, ZHANG,Lan
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ciência e Tecnologia de Alimentos 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-20612022000100735
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spelling oai:scielo:S0101-206120220001007352022-02-23Pulmonary edema after shoulder arthroscopy in an old female under general anesthesiaLIN,FeiWAN,QihaiZHANG,GangSU,LiLUO,ChunqiongSHUI,YunhuaZENG,SiZHANG,Lan Keywor: ultrasound shoulder arthroscopic surgery pulmonary edema B-line Furosemide Abstract A number of complications have been ascribed to shoulder arthroscopy, but pulmonary edema is rarely reported. A 64-year-old female underwent right shoulder arthroscopic repair for supraspinatus and subscapular tears under intermuscular sulcus brachial plexus block (ISBPB) and general anesthesia. Finishing suture of torn tendon, and acromion and distal clavicle plasty, the patient represented the symptoms of dyspnea, and oxygen saturation quickly dropped to 80% without oxygen supply. After inhaled oxygen, the oxygen saturation quickly returned to 95%, while dyspnea didn’t improve. Noticing swelling in neck and chest, left movement of the trachea, low breath sounds and wet rales during auscultation, ultrasound examination was performed and found the obvious pleural slip, and a large number of b-lines in the lung, indicating pulmonary edema. After injection of furosemide and dexamethasone (i.v.), the outcome of patient was satisfactory. This is the first report of pulmonary edema as a complication of shoulder arthroscopy, which also reviews the relevant factors of fluid extravasation, and highlights the good use of the equipment at hand to quickly judge the patient's condition.info:eu-repo/semantics/openAccessSociedade Brasileira de Ciência e Tecnologia de AlimentosFood Science and Technology v.42 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-20612022000100735en10.1590/fst.52321
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author LIN,Fei
WAN,Qihai
ZHANG,Gang
SU,Li
LUO,Chunqiong
SHUI,Yunhua
ZENG,Si
ZHANG,Lan
spellingShingle LIN,Fei
WAN,Qihai
ZHANG,Gang
SU,Li
LUO,Chunqiong
SHUI,Yunhua
ZENG,Si
ZHANG,Lan
Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
author_facet LIN,Fei
WAN,Qihai
ZHANG,Gang
SU,Li
LUO,Chunqiong
SHUI,Yunhua
ZENG,Si
ZHANG,Lan
author_sort LIN,Fei
title Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
title_short Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
title_full Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
title_fullStr Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
title_full_unstemmed Pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
title_sort pulmonary edema after shoulder arthroscopy in an old female under general anesthesia
description Abstract A number of complications have been ascribed to shoulder arthroscopy, but pulmonary edema is rarely reported. A 64-year-old female underwent right shoulder arthroscopic repair for supraspinatus and subscapular tears under intermuscular sulcus brachial plexus block (ISBPB) and general anesthesia. Finishing suture of torn tendon, and acromion and distal clavicle plasty, the patient represented the symptoms of dyspnea, and oxygen saturation quickly dropped to 80% without oxygen supply. After inhaled oxygen, the oxygen saturation quickly returned to 95%, while dyspnea didn’t improve. Noticing swelling in neck and chest, left movement of the trachea, low breath sounds and wet rales during auscultation, ultrasound examination was performed and found the obvious pleural slip, and a large number of b-lines in the lung, indicating pulmonary edema. After injection of furosemide and dexamethasone (i.v.), the outcome of patient was satisfactory. This is the first report of pulmonary edema as a complication of shoulder arthroscopy, which also reviews the relevant factors of fluid extravasation, and highlights the good use of the equipment at hand to quickly judge the patient's condition.
publisher Sociedade Brasileira de Ciência e Tecnologia de Alimentos
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-20612022000100735
work_keys_str_mv AT linfei pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT wanqihai pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT zhanggang pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT suli pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT luochunqiong pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT shuiyunhua pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT zengsi pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
AT zhanglan pulmonaryedemaaftershoulderarthroscopyinanoldfemaleundergeneralanesthesia
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