IC 104-2022: Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice-Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice (4/5)

Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice (4/5)

Video Transcription

Video Summary

In this video, Dr. Philippon shares his experience with a complex patient who encountered a cardiac complication during surgery. The patient was a 47-year-old ex-ballerina with a history of previous abdominal surgery. The surgery started well, but complications arose when the patient experienced hypertensive, tachycardic symptoms and a drop in temperature. Pulmonary edema was diagnosed and treated. The cause was thought to be phrenic nerve irritation due to fluid dissection during surgery. Dr. Philippon discusses the importance of monitoring fluid and irrigation temperature to prevent complications such as hypothermia. He also mentions the effects of certain drugs on hypothermia risk. Additionally, he touches on the use of outflow portals during surgery to reduce fluid extravasation. Dr. Philippon concludes with a discussion on anesthesiologist-performed blocks and the issues associated with fascia iliaca blocks. He recommends consistent and experienced personnel for these procedures. Overall, he emphasizes the need for careful monitoring and attention to detail in surgical procedures.

Asset Caption

Marc Philippon, MD

Keywords

Dr. Philippon

cardiac complication

surgery

hypertensive symptoms

pulmonary edema