Journal article
Calculating Intraoperative Fluid Deficit to Prevent Abdominal Compartment Syndrome in Hip Arthroscopy
Arthroscopy techniques (Amsterdam), Vol.11(1), pp.E89-E93
01/01/2022
DOI: 10.1016/j.eats.2021.09.006
PMCID: PMC8807858
PMID: 35127433
Abstract
Abdominal compartment syndrome (ACS) is a rare but potentially fatal complication that can occur during hip arthroscopy. This usually occurs as a result of arthroscopic fluid passing into the retroperitoneal space through the psoas tunnel. From the retroperitoneal space, the fluid can then enter the intraperitoneal space through defects in the peritoneum. Previous studies have identified female sex, iliopsoas tenotomy, pump pressure, and operative time as potential risk factors for fluid extravasation. We present a method to measure intraoperative fluid deficit during hip arthroscopy to alert surgeons to possible ACS. Our proposed technique requires diligent intraoperative monitoring of fluid output through various suction devices, including suction canisters, puddle vacuums, and suction mats. The difference is then calculated from the fluid intake from the arthroscopic fluid bags. If the difference is greater than 1500 mL, then the anesthesiologist and circulating nurse are instructed to examine the abdomen for distension every 15 minutes. This, combined with other common symptoms such as hypotension and hypothermia, should alert the surgical team to the development of ACS. Despite limitations to this technique, this approach offers an objective method to calculate intra-abdominal fluid extravasation.
Details
- Title: Subtitle
- Calculating Intraoperative Fluid Deficit to Prevent Abdominal Compartment Syndrome in Hip Arthroscopy
- Creators
- Dheeraj R. Yalamanchili - Cedars-Sinai Kerlan-Jobe InstituteStephen Shively - Western Reserve HospitalMichael B. Banffy - Cedars-Sinai Kerlan-Jobe InstituteNeal Taliwal - Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Akron, Ohio, U.S.A.Elliott Clark - Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Akron, Ohio, U.S.A.Glen Hunter - Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Akron, Ohio, U.S.A.Ashley Mayle - Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Akron, Ohio, U.S.A.Guillaume D. Dumont - University of South CarolinaRobert W. Westermann - University of IowaJoshua D. Harris - Houston MethodistJovan R. Laskovski - Department of Orthopaedic Surgery, Crystal Clinic Orthopaedic Center, Akron, Ohio, U.S.A.
- Resource Type
- Journal article
- Publication Details
- Arthroscopy techniques (Amsterdam), Vol.11(1), pp.E89-E93
- DOI
- 10.1016/j.eats.2021.09.006
- PMID
- 35127433
- PMCID
- PMC8807858
- NLM abbreviation
- Arthrosc Tech
- ISSN
- 2212-6287
- eISSN
- 2212-6287
- Publisher
- Elsevier
- Number of pages
- 5
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Orthopedics and Rehabilitation; Athletic Training Program
- Record Identifier
- 9984303980702771
Metrics
19 Record Views