Complications – Surgeons' Worst Enemy & Best Teacher (2021 Annual Meeting)-Complications - Surgeons' Worst Enemy & Best Teacher-Toth

Video Transcription

Video Summary

In this video, a doctor discusses two different cases involving complications during shoulder surgeries. The first case involves a young woman who developed popping and catching in her shoulder after a subluxation injury. The doctor performed an arthroscopic labral repair, but during the surgery, the patient experienced extremely high blood pressure and heart rate. The anesthesiologist struggled to bring her vital signs under control and she eventually developed a heart attack. The doctor took responsibility for the complication, admitting that it may have been caused by an error in the administration of epinephrine. The patient eventually recovered and trusted the doctor enough to undergo a second surgery. <br /><br />The second case involved a young man with poorly controlled epilepsy who had previously dislocated his shoulder. The doctor performed an arthroscopic repair but the patient dislocated again 24 hours later. The doctor then decided to perform a Latarjet procedure, which involved using a distal tibia allograft to repair the damaged glenoid and allograft for the hill-sacks defect. The patient was admitted for five days and closely monitored for seizure activity. The doctor learned from this experience and decided to avoid using soft tissue procedures for patients with seizure disorders in the future.

Asset Caption

Dr. Alison Toth

Keywords

shoulder surgeries

complications

arthroscopic labral repair

high blood pressure

heart attack