A prospective cohort study was conducted at the Specialty Hospital on the use of Glycine irrigation fluids in shoulder arthroscopy surgery that was published in one of the prestigious journals worldwide “The Journal of Orthopedic Trauma Surgery And Related Research”.
This study was done by Dr. Ziyad El Qirem, Dr. Mohammad Abu Taleb, Dr. Muntaser Abu Shokor and Dr. Aiman Abu Qub’a.
The study aimed to determine the safety of the usage of glycine fluid during shoulder arthroscopy surgery, the sample size included 106 patients that had undergone this surgery. This study came as a result of the evolution of arthroscopic shoulder surgeries at the Specialty Hospital and had shown the emergence of new tools and techniques to ensure the effectiveness and success of this surgery with the less pain and complications.
Electrolytes and hemoglobin levels were measured pre-operative, 4 hours and 18 hours post-operative respectively and side effects were monitored during this period. Patients under the age of 18 years old as well as, patients with chronic kidney disease were excluded from this study as a different solution other than glycine was used.
A slight change in sodium levels was noted with a decrease of (3.5mEq/L) and (2.7mEq/L) after 4 and 18 hours post-surgery respectively. In regards to potassium levels, an increase of (0.07mEq/L) was noted 4 hours post-surgery and a decrease of (0.1mEq/L) 18 hours post-surgery. In addition to, an increase in hemoglobin levels of a (0.73 g/dl) 4 hours after surgery with a levelling of values back to normal 18 hours post-surgery.
In conclusion, results of this study showed that the usage of Glycine solution in Shoulder Arthroscopy surgery is safe to use regardless of the time of surgery, as the change in electrolytes was insignificant to the patient’s safety.
It is also worth mentioning that the Specialty Hospital is a teaching hospital that is involved in a numerous researches and scientific studies that are published in worldwide journals.
To view the study, click here