Posterior shoulder subluxation most likely caused by retching in the lateral head-down position for prevention of aspiration.
A patient who sustained a posterior shoulder subluxation injury after being positioned in the lateral decubitus head-down position during emergence from general anesthesia is presented. It is postulated that the injury occurred as a result of violent retching while in the lateral position.
McCartney
Michael L
ML
Department of Anesthesiology, University of Kansas Hospital, Kansas City, KS 66160, USA. mmccartney@kumc.edu
Goto
Hiroshi
H
D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects; D018475:Head-Down Tilt / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011015:Pneumonia, Aspiration / Q000517:prevention & control*; D016059:Range of Motion, Articular; D012783:Shoulder Dislocation / Q000209:etiology*; D020069:Shoulder Pain / Q000209:etiology; D014839:Vomiting / Q000150:complications*