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

Video Transcription

Video Summary

The speaker discusses two complex shoulder cases highlighting complications and the importance of the doctor-patient relationship. The first case involves a 26-year-old woman undergoing arthroscopic labral repair who developed severe hypertension and tachycardia intraoperatively, likely due to inadvertent epinephrine overdose from diluted irrigant fluid. The patient suffered an MI but recovered after intensive care. This case underscores the risks of epinephrine use and the dangers of treating induced tachycardia with beta blockers, emphasizing communication, transparency, and patient trust during complications. The second case describes a young man with poorly controlled epilepsy experiencing recurrent shoulder dislocations despite surgery. Multiple interventions including Latarjet and distal tibia allografts were performed, with seizure control crucial to surgical success. The speaker stresses thorough preoperative planning, the need for aggressive seizure management postoperatively, and honest discussions with families about risks and the possibility of revision surgeries. Overall, the talk highlights managing complications, fostering trust, and multidisciplinary care.

Asset Caption

Dr. Alison Toth

Keywords

shoulder arthroscopy complications

epinephrine overdose

doctor-patient communication

recurrent shoulder dislocation

seizure management in surgery