Investigation of the neck swelling caused by accumulation of irrigation fluid during shoulder arthroscopy in the beach-chair position: Second report

Tatsuo Kadoya, Eiji Sakamoto, Toshinori Yamamoto, Yuki Kinoshita, Munehiro Shiraishi, Hirofumi Uehara

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Previously, we reported that pre- and postoperative measurement of the neck circumference might be an easy and useful measure for prediction of postoperative airway obstruction in shoulder arthroscopy. However, it is suggested that airway pressure to cause a cuff leak around the tracheal tube in a cuff deflated condition (cuff leak pressure) is a predictor of postoperative airway obstructioa We studied a correlation between the neck circumference and the cuff leak pressure. Methods: Forty patients undergoing shoulder arthroscopy in die beach-chair position were included in this study. There were 30 male and 10 female patients All patients' neck circumference and cuff leak pressure were compared pre- and postoperatively and with each other. Results: There was a strong correlation between the increase of neck circumference and the increase of cuff leak pressure. Conclusions: The rate of increase in neck circumference shows the swelling of external tissue of the neck. However, it may not reflect the swelling of the internal tissue containing pharynx, larynx and retrotracheal space. Alternatively, pre- and postoperative measurement of the cuff leak pressure could be a more substantial predictor of postoperative airway obstruction than the rate of increase in neck circumference.

Original languageEnglish
Pages (from-to)1329-1333
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume63
Issue number12
Publication statusPublished - Jan 1 2014

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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