Pneumothorax, an Uncommon but Devastating Complication following Shoulder Arthroscopy: Case Reports
Wei-Chien Sun1, Liang Tseng Kuo2, Pei-An Yu2
1Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Medicina (Kaunas, Lithuania)
|November 11, 2022
Summary
Pneumothorax is a rare but life-threatening complication of shoulder arthroscopy. Multifactorial risks include patient positioning, nerve blocks, and surgical factors. Early diagnosis and management are crucial for patient safety.
Area of Science:
- Orthopedic Surgery
- Thoracic Surgery
- Anesthesiology
Background:
- Shoulder arthroscopy is a common procedure for shoulder disorders, offering faster recovery.
- Despite its benefits, serious complications like pneumothorax can occur.
Observation:
- Three cases of pneumothorax following shoulder arthroscopy are presented.
- Patient factors included age, position (beach-chair, lateral decubitus), and anesthesia type.
- Surgical factors included procedure type, duration, and irrigation system pressure.
Findings:
- Pneumothorax incidence is low (0.2%) but significant.
- Contributing factors identified: patient positioning, interscalene nerve block, prolonged surgery, rotator cuff tear size, and irrigation pressure.
- Clinical manifestations of pneumothorax varied across the presented cases.
Implications:
- Understanding multifactorial risks is vital for preventing pneumothorax.
- Enhanced awareness of diagnosis and management strategies can mitigate patient risk.
- This study highlights the importance of vigilance for life-threatening complications in shoulder arthroscopy.
Related Concept Videos
01:27Pneumothorax-II
278
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
278
01:26Pneumothorax-I
292
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
292
01:26Endoscopic Studies II: Thoracocentesis
437
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
437
01:30Pneumonia III: Complications and Assessment
359
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
359
01:26Flail Chest-II
224
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
224
01:24Flail Chest-I
258
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
258