How Common Is Intra-abdominal Fluid Extravasation after Hip Arthroscopy?

    Intra-abdominal fluid extravasation (IAFE) in patients undergoing hip arthroscopy can lead to serious complications that necessitate diuresis or surgical decompression.

    The reported prevalence of symptomatic IAFE requiring intervention is 0.16%.

    Is that number accurate? And what about asymptomatic IAFE…how common is that?

    To find out, Stephen C. Haskins, MD, an anesthesiologist at Hospital for Special Surgery in New York City, and his colleagues performed ultrasonography of the abdomen and pelvis via the Focus Assessment with Sonography for Trauma (FAST) exam on 100 patients undergoing ambulatory hip arthroscopy.

    Patients were enrolled prospectively. The exam was done preoperatively and postoperatively by an anesthesiolgist to assess the presence of new fluid in the abdomen or pelvic compartment after arthroscopy. Patients were followed in the PACU for 6 hours to evaluate pain, anti-emetic and opioid use, and length of stay.

    Dr. Haskins presented the results of the study at the American Society of Anesthesiologists’ annual meeting last fall.

    In an exclusive interview with ICJR, Dr. Haskins discusses the findings and their implication in practice.

    Click the image above to hear his comments.

    Producer: Susan Doan-Johnson; Director and Post Production: Michael Bugera