Faculty Collaboration Database

Hemorrhagic-Induced Cardiovascular Complications During Reamer-Irrigator-Aspirator-Assisted Femoral Nonunion Treatment. J Orthop Trauma 2016 Sep;30(9):e294-8

Date

04/29/2016

Pubmed ID

27124827

DOI

10.1097/BOT.0000000000000612

Scopus ID

2-s2.0-84983385718 (requires institutional sign-in at Scopus site)   7 Citations

Abstract

UNLABELLED: The reamer-irrigator-aspirator (RIA) is a device that has recently been developed to retrieve bone graft from the medullary canal of the femur and the tibia. As for most new surgical procedures, complications arise as part of the learning curve and/or imperfections in the design or technique. To increase awareness of potential complications and to prevent unnecessary harm to the patient, new complications need to be reported. We present case reports of 2 patients who developed severe intraoperative cardiac events presumably caused by excessive and rapid blood loss during RIA bone graft harvesting. This complication has not been described before. Increased awareness of excessive blood loss and subsequent cardiac events during an RIA procedure is warranted.

LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Author List

Donders JC, Baumann HM, Stevens MF, Kloen P

Author

Holger Baumann MD Assistant Professor in the Anesthesiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Cardiovascular Diseases
Combined Modality Therapy
Debridement
Female
Femoral Fractures
Fracture Fixation, Internal
Fractures, Malunited
Hemorrhage
Humans
Male
Middle Aged
Postoperative Hemorrhage
Suction
Therapeutic Irrigation
Treatment Outcome