Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Life-threatening Airway Edema after Arthroscopic Repair of Massive Rotator Cuff Tear - A Case Report -

관절경하 광범위 회전근 개 파열 수술 후 발생한 치명적인 기도 부종 - 증례 보고 -

  • Moon, Young-Lae (Department of Orthopaedic Surgery, College of Medicine, Chosun University) ;
  • Yu, Byung-Sik (Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University) ;
  • So, Keum-Young (Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University) ;
  • Lim, Kyung-Joon (Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University) ;
  • Kang, Jeong-Hoon (Department of Orthopaedic Surgery, College of Medicine, Chosun University)
  • 문영래 (조선대학교 의과대학 정형외과학교실) ;
  • 유병식 (조선대학교 의과대학 마취통증의학교실) ;
  • 소금영 (조선대학교 의과대학 마취통증의학교실) ;
  • 임경준 (조선대학교 의과대학 마취통증의학교실) ;
  • 강정훈 (조선대학교 의과대학 정형외과학교실)
  • Published : 2007.06.15
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Abstract

Shoulder arthroscopic surgeries are an accepted technique for many shoulder disease and have many advantages over open surgeries. To date, shoulder arthroscopic surgery have been rare complications that compromise patient airway, caused by the leakage of irrigation fluid out of the shoulder joint space into the surrounding soft tissues and then the neck and the pharynx. This report presents a case of life-threatening airway obstruction due to extra-articular saline collection during arthroscopic rotator cuff repair. In concluding we should hourly check the patient's neck swelling undergoing shoulder arthroscopic surgery, because anesthetized patients cannot complain of the airway problem may progress until it becomes life-threatening.

견관절경 수술로 많은 질환을 치료할 수 있으며 개방 술식에 비하여 많은 장점을 가지고 있다. 드물게 견관절 수술 후 세척액이 관절외 연부조직으로 유출되어 목과 인두에 부종을 유발하는 기도합병증이 보고되고 있다. 이 논문은 관절경하 회전근 개 봉합 수술 후 치명적으로 발생했던 기도 폐쇄를 보고하고자 한다. 결론적으로 이러한 위험한 합병증을 예방하기 위해서는 마취된 환자의 경우 불편감을 호소할 수 없으므로 술자들의 경부 부종 상태를 주기적으로 점검하여야 할 것이다.

Keywords

References

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