Haemodynamic, electrolyte and metabolic changes during percutaneous nephrolithotomy

Mohta, Medha; Bhagchandani, Tarun; Tyagi, Asha; Pendse, Milan; Sethi, Ankur

doi:10.1007/s11255-006-9093-6

Cited by 23 publications

(25 citation statements)

References 10 publications

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“…Mohta et al found no significant changes in hemodynamic and electrolytes, but there was a trend towards metabolic acidosis. 30 Atici et al conducted a study to investigate the hormonal and hemodynamic changes during PCNL and concluded that there is a tendency towards hyponatremia and metabolic acidosis, in addition to significant increases in renin, aldosterone and ACTH levels during procedures. 31 Hence arterial blood gases should be monitored during and after PCNL surgeries in cases with prolonged irrigation time, repeated Pleural injury leading to hydrothorax was seen in one case postoperatively which required intercostal chest tube drainage further course of the patient was uneventful.…”

Section: Acidosismentioning

confidence: 99%

A comparative study of combined spinal epidural anaesthesia and general anaesthesia in patients undergoing percutaneous nephrolithotomy

et al. 2016

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Section: Acidosismentioning

confidence: 99%

A comparative study of combined spinal epidural anaesthesia and general anaesthesia in patients undergoing percutaneous nephrolithotomy

et al. 2016

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“…Although absorbed fluid was more in the prone group, probably it was not enough to improve hemodynamic imbalance which occurred during the operation. In Mohta and Koroglu's studies there was no significant change in electrolyte levels (Na and K) (3,13). In another study ,it was found that after irrigation by distilled water there was a significant change in Na but not in K (8).…”

Section: Discussionmentioning

confidence: 82%

“…Percutaneous nephrolithotripsy (PCNL) is a common technique to treat kidney stones and is also used to fragment and remove the calyx and pelvic stones (1)(2)(3)(4)(5). Nowadays to manage large stones, stones resistant to fragmentation, or stones with an abnormal anatomy in kidney, PCNL is preferred (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…In some studies electrolytic changes due to PCNL, showed hyponatremia and metabolic acidosis other than hypertension (3,13). To avoid complications due to absorption of fluid without electrolytes, normal saline is the fluid which is commonly used for irrigation (3,5). Manipulation under X-Ray or endoscopy, by continuous open flowing systemcan also be usedto prevent electrolytic imbalance.…”

Section: Introductionmentioning

confidence: 99%

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6 Comparative Study of Hemodynamics Electrolyte and Metabolic Changes During Prone and Complete Supine Percutaneous Nephrolithotomy

Khoshrang¹,

Falahatkar²,

Naseh³

et al. 2010

European Urology Supplements

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Background: Nowadays Percutaneous Nephrolithotomy (PCNL) is performed in prone and supine positions. Physiologic solutions should be used to irrigate during PCNL. Irrigation can cause hemodynamic, electrolyte and acid-base changes during PCNL. Objectives: The current study aimed to compare the electrolyte, hemodynamic and metabolic changes of prone and complete supine PCNL. Patients and Methods: It was a randomized clinical trial study on 40 ASA class I and II patients. Twenty of patients underwent prone PCNL (Group A) and the other twenty underwent complete supine PCNL (Group B). The two groups received the same premedication and induction of anesthesia. Blood pressure (systolic, diastolic and mean) and pulse rate were recorded before, during and after anesthesia and Hb, Hct, BUN, Cr, Na, and K were also measured before and after operation in the two groups. The volume of irrigation fluid, total effluent fluid (the fluid in the bucket and the gazes) and volume of absorbed fluid were measured. Results: There were no significant differences in Na, K, BUN, Cr, Hb and Hct between the two groups. Absorption volume was significantly different between the two groups (335 ± 121.28 mL in group A and 159.45 ± 73.81 mL in group B, respectively) (P = 0.0001). The mean anesthesia time was significantly different between the two groups (P = 0.012). There was a significant difference in bleeding volume between supine and prone PCNL (270.4 ± 229.14 in group A and 594.2 ± 290 in group B, respectively) (P = 0.0001). Mean systolic blood pressure during operation and recovery was 120.2 ± 10.9 and 140.7 ± 25.1 in group B, and 113.4 ± 6.4 and 126.2 ± 12.7 in group A, respectively. Systolic blood pressure between the two groups during operation and recovery was significantly different (P = 0.027 and P = 0.022, respectively). Mean diastolic blood pressure in supine group during operation and recovery was 80.53 ± 7.57 and 95.75 ± 17.48, and 73.95 ± 3.94 and 83.4 ± 12.54 in prone group, respectively. Diastolic blood pressure was significantly different between the two groups. It was 80.55 ± 7.57 and 95.75 ± 17.48, respectively during operation and recoveryin the supine group and 73.95 ± 3.94 and 83.4 ± 12.54 in the prone group, respectively (P = 0.001 and P = 0.014, respectively), but there was no significant difference between the pulse rate mean value of the two groups. Conclusions: The electrolyte and metabolic changes were not significantly different between the two groups, and although fluid absorption in prone group was more than that of the complete supine group, there was no significant difference between the two groups. Considering advantages of complete supine PCNL such as less hemodynamic changes (less hypotension, less fluid absorption and less duration of operation) this kind of PCNL was recommended.

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“…associated with peri-operative complications especially haemodynamic changes (1), (2) . In a previous study in our department on peri-operative complications of PCNL under general anaesthesia significant haemodynamic changes were noted.…”

Section: Introductionmentioning

confidence: 99%

Effect of Epidural Analgesia in the Peri-Operative Haemodynamic Changes and Recovery Profile in Patients Undergoing Percutaneous Nephrolithotomy under General Anesthesia

Santhi¹

2017

jmscr

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Haemodynamic, electrolyte and metabolic changes during percutaneous nephrolithotomy

Cited by 23 publications

References 10 publications

A comparative study of combined spinal epidural anaesthesia and general anaesthesia in patients undergoing percutaneous nephrolithotomy

A comparative study of combined spinal epidural anaesthesia and general anaesthesia in patients undergoing percutaneous nephrolithotomy

6 Comparative Study of Hemodynamics Electrolyte and Metabolic Changes During Prone and Complete Supine Percutaneous Nephrolithotomy

Effect of Epidural Analgesia in the Peri-Operative Haemodynamic Changes and Recovery Profile in Patients Undergoing Percutaneous Nephrolithotomy under General Anesthesia

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