Document Detail


Fluid gain during routine shoulder arthroscopy.
MedLine Citation:
PMID:  18276168     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to asses the physiological impact of fluid gained during routine shoulder arthroscopy. Included in this study were 40 consecutive patients undergoing an arthroscopic procedure of the shoulder. The weight, hemoglobin, hematocrit, and physiologic observations were compared pre- and postsurgery and correlated to the duration of the procedure and the amount of fluid used. The mean operative time was 27.4 minutes (+/-11.2) with a mean fluid use of 3.2 liters (+/-2.2). There was a mean weight gain of 0.9 kg (+/-.64, 0-3.2, P < .0001) and a mean drop in hemoglobin and hematocrit of 0.6 g/dl (+/-.5, 0-2, P < .0001) and 1.5% (+/-1.5%, 0-6%, P < .0001), respectively. There was a strong correlation between the amount of fluid used and the weight gain (R = .89, P < .0001). Although serious complications from fluid absorption during shoulder arthroscopy are rare, there is a significant absorption of irrigation fluid during the procedure. The time taken and the amount of fluid used should be kept to the minimum required for safe completion of the procedure.
Authors:
Christopher D Smith; Mian M Shah
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Publication Detail:
Type:  Journal Article     Date:  2008-02-14
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  17     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-06     Completed Date:  2008-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  415-7     Citation Subset:  IM    
Affiliation:
Trauma and Orthopaedic Department, Manor Hospital, Walsall NHS Trust, West Midlands, UK. drcs1@doctors.net.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroscopy / adverse effects*,  methods
Female
Hemodynamics
Humans
Irrigation / adverse effects
Male
Middle Aged
Shoulder Joint*
Sodium Chloride / administration & dosage
Water-Electrolyte Imbalance / etiology*
Chemical
Reg. No./Substance:
7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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