IC 207-2022: Complications – Surgeons’ Worst Enemy & Best Teacher-Complications – Surgeons’ Worst Enemy & Best Teacher (4/5)

Video Transcription

Video Summary

In this video, the speaker discusses two shoulder surgery cases. The first case involves a 26-year-old female who experienced a complication during surgery due to the administration of epinephrine. The patient had a labral tear, hill-sachs lesion, and ALPSA, which required repair. However, shortly after the surgery started, the patient's blood pressure and heart rate increased dramatically, leading to pulmonary edema. The patient was transferred to the intensive care unit and eventually diagnosed with epinephrine-induced vasospasm. Despite this complication, the patient ultimately underwent successful surgery and recovered well. The second case involves a 19-year-old male with a seizure disorder who had recurrent shoulder dislocations. The initial surgical repair failed due to a seizure, causing the patient's shoulder to dislocate again. A revision surgery involving an osteochondral allograft and coracoid graft was performed, along with aggressive seizure control measures. The patient had a successful outcome and remained seizure-free. The speaker emphasizes the importance of clear communication with patients and families, taking responsibility for complications, and ensuring optimal seizure control in patients with seizure disorders. The speaker also discusses surgical considerations, such as bone loss and the choice of grafts. The video concludes with the speaker mentioning the importance of being prepared to revise surgeries and encouraging audience questions. No credits were mentioned in the video.

Asset Caption

Alison Toth, MD

Keywords

shoulder surgery cases

complications

epinephrine administration

seizure disorder

surgical considerations