Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Intra-abdominal hypertension during hip arthroscopy: a case report

  • Saeyoung Kim (Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University ) ;
  • Hyun-Su Ri (Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University ) ;
  • Ji Hyun Kim (Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University ) ;
  • iyong Yeom (Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University )
  • Received : 2022.06.10
  • Accepted : 2022.08.11
  • Published : 2023.01.31
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Abstract

Symptomatic extravasation of irrigation fluid is a rare complication of hip arthroscopy. However, depending on the amount of fluid, intra-abdominal hypertension (IAH) may occur and even develop into abdominal compartment syndrome, which can seriously alter hemodynamic circulation. Therefore, it is important for anesthesiologists to promptly recognize the abnormal signs of IAH for early diagnosis and better clinical outcomes. Nevertheless, these signs are difficult to detect because they are usually obscured when the patient is under anesthesia and masked by surgical drapes. We report a case of IAH under general anesthesia during hip arthroscopy to highlight possible symptoms and signs.

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References

  1. Fowler J, Owens BD. Abdominal compartment syndrome after hip arthroscopy. Arthroscopy 2010;26:128-30. https://doi.org/10.1016/j.arthro.2009.06.021
  2. Ciemniewska-Gorzela K, Piontek T, Szulc A. Abdominal compartment syndrome: the prevention and treatment of possible lethal complications following hip arthroscopy: a case report. J Med Case Rep 2014;8:368.
  3. Haskins SC, Desai NA, Fields KG, Nejim JA, Cheng S, Coleman SH, et al. Diagnosis of intraabdominal fluid extravasation after hip arthroscopy with point-of-care ultrasonography can identify patients at an increased risk for postoperative pain. Anesth Analg 2017;124:791-9. https://doi.org/10.1213/ANE.0000000000001435
  4. Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DS, Helfet DL. Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma 1998;12:294-9. https://doi.org/10.1097/00005131-199805000-00014
  5. Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006;32:1722-32. https://doi.org/10.1007/s00134-006-0349-5
  6. Verma M, Sekiya JK. Intrathoracic fluid extravasation after hip arthroscopy. Arthroscopy 2010;26(9 Suppl):S90-4. https://doi.org/10.1016/j.arthro.2010.02.019
  7. Yalamanchili DR, Shively S, Banffy MB, Taliwal N, Clark E, Hunter G, et al. Calculating intraoperative fluid deficit to prevent abdominal compartment syndrome in hip arthroscopy. Arthrosc Tech 2021;11:e89-93. https://doi.org/10.1016/j.eats.2021.09.006
  8. Kocher MS, Frank JS, Nasreddine AY, Safran MR, Philippon MJ, Sekiya JK, et al. Intra-abdominal fluid extravasation during hip arthroscopy: a survey of the MAHORN group. Arthroscopy 2012;28:1654-60. https://doi.org/10.1016/j.arthro.2012.04.151
  9. Papavasiliou AV, Bardakos NV. Complications of arthroscopic surgery of the hip. Bone Joint Res 2012;1:131-44. https://doi.org/10.1302/2046-3758.17.2000108
  10. Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 2013;39:1190-206. https://doi.org/10.1007/s00134-013-2906-z
  11. Shakuo T, Bito K, Yasuda S, Asagi C. Abdominal compartment syndrome during hip arthroscopy for an acetabular fracture: a case report. JA Clin Rep 2017;3:24.
  12. Schwenter A, Schuepfer G, Beck M, Mauch J. Abdominal compartment syndrome after hip arthroscopy. Anaesthesist 2021;70:398-400. https://doi.org/10.1007/s00101-020-00909-0
  13. Diaz M, Becker DE. Thermoregulation: physiological and clinical considerations during sedation and general anesthesia. Anesth Prog 2010;57:25-32. https://doi.org/10.2344/0003-3006-57.1.25
  14. Bindu B, Bindra A, Rath G. Temperature management under general anesthesia: compulsion or option. J Anaesthesiol Clin Pharmacol 2017;33:306-16.
  15. Sharma A, Sachdev H, Gomillion M. Abdominal compartment syndrome during hip arthroscopy. Anaesthesia 2009;64:567-9. https://doi.org/10.1111/j.1365-2044.2008.05858.x