Anesthetic considerations during percutaneous nephrolithotomy
Abstract Study Objective To assess anesthesia-related complications during and following percutaneous nephrolithotomy (PCNL) for staghorn stones. Design Prospective study and a detailed case report. Setting Medical center in southern Israel. Patients 20 consecutive patients undergoing PCNL for stagh...
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| Veröffentlicht in: | Journal of clinical anesthesia 2007-08, Vol.19 (5), p.351-355 |
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| creator | Rozentsveig, Vsevolod, MD Neulander, Endre Z., MD Roussabrov, Efim, MD Schwartz, Andrei, MD Lismer, Leonard, MD Gurevich, Boris, MD Klein, Yosef, MD Weksler, Natan, MD |
| description | Abstract Study Objective To assess anesthesia-related complications during and following percutaneous nephrolithotomy (PCNL) for staghorn stones. Design Prospective study and a detailed case report. Setting Medical center in southern Israel. Patients 20 consecutive patients undergoing PCNL for staghorn stones. Interventions All patients underwent PCNL during general anesthesia. Measurements Duration of surgery, esophageal temperature, hemoglobin (Hb) concentration, and requirements for blood transfusion, mean volume of irrigation fluid, and serum sodium and potassium concentration were recorded. Main Results Mean age was 50.7 ± 14.9 y (range, 26–76 y). Mean duration of the procedure was 120.0 ± 42.5 min (range, 75–240 min). Mean volume of irrigation fluid was 34.1 ± 15.3 L (range, 18–80 L). There was a significant decrease in Hb concentration from 13.7 ± 1.71 to 12.2 ± 1.4 g/dL, but no patient required blood transfusion. There was a statistically significant reduction in esophageal temperature from 36.4°C ± 0.32°C to 35.2°C ± 0.5°C. There were no significant changes in sodium or potassium concentration before or after PCNL. Conclusions Anesthesia during PCNL for staghorn stones is a challenge because of the possibility of fluid absorption, dilutional anemia, hypothermia, or significant blood loss. |
| doi_str_mv | 10.1016/j.jclinane.2007.02.010 |
| format | Article |
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Design Prospective study and a detailed case report. Setting Medical center in southern Israel. Patients 20 consecutive patients undergoing PCNL for staghorn stones. Interventions All patients underwent PCNL during general anesthesia. Measurements Duration of surgery, esophageal temperature, hemoglobin (Hb) concentration, and requirements for blood transfusion, mean volume of irrigation fluid, and serum sodium and potassium concentration were recorded. Main Results Mean age was 50.7 ± 14.9 y (range, 26–76 y). Mean duration of the procedure was 120.0 ± 42.5 min (range, 75–240 min). Mean volume of irrigation fluid was 34.1 ± 15.3 L (range, 18–80 L). There was a significant decrease in Hb concentration from 13.7 ± 1.71 to 12.2 ± 1.4 g/dL, but no patient required blood transfusion. There was a statistically significant reduction in esophageal temperature from 36.4°C ± 0.32°C to 35.2°C ± 0.5°C. There were no significant changes in sodium or potassium concentration before or after PCNL. Conclusions Anesthesia during PCNL for staghorn stones is a challenge because of the possibility of fluid absorption, dilutional anemia, hypothermia, or significant blood loss.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2007.02.010</identifier><identifier>PMID: 17869985</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia & Perioperative Care ; Anesthesia - adverse effects ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Female ; Humans ; Kidney Calculi - surgery ; Kidney stones ; Male ; Medical sciences ; Middle Aged ; Nephrostomy, Percutaneous - adverse effects ; Pain Medicine ; Percutaneous nephrolithotomy ; Postoperative period ; Prospective Studies ; Surgery ; Treatment Outcome ; Urologic surgery</subject><ispartof>Journal of clinical anesthesia, 2007-08, Vol.19 (5), p.351-355</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-a948f9602c7cdcdf0fbc9981a39158e205ccb5e667ffed7ba376e8a1e1bd4c743</citedby><cites>FETCH-LOGICAL-c479t-a948f9602c7cdcdf0fbc9981a39158e205ccb5e667ffed7ba376e8a1e1bd4c743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1034977806?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19120404$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17869985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rozentsveig, Vsevolod, MD</creatorcontrib><creatorcontrib>Neulander, Endre Z., MD</creatorcontrib><creatorcontrib>Roussabrov, Efim, MD</creatorcontrib><creatorcontrib>Schwartz, Andrei, MD</creatorcontrib><creatorcontrib>Lismer, Leonard, MD</creatorcontrib><creatorcontrib>Gurevich, Boris, MD</creatorcontrib><creatorcontrib>Klein, Yosef, MD</creatorcontrib><creatorcontrib>Weksler, Natan, MD</creatorcontrib><title>Anesthetic considerations during percutaneous nephrolithotomy</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Study Objective To assess anesthesia-related complications during and following percutaneous nephrolithotomy (PCNL) for staghorn stones. Design Prospective study and a detailed case report. Setting Medical center in southern Israel. Patients 20 consecutive patients undergoing PCNL for staghorn stones. Interventions All patients underwent PCNL during general anesthesia. Measurements Duration of surgery, esophageal temperature, hemoglobin (Hb) concentration, and requirements for blood transfusion, mean volume of irrigation fluid, and serum sodium and potassium concentration were recorded. Main Results Mean age was 50.7 ± 14.9 y (range, 26–76 y). Mean duration of the procedure was 120.0 ± 42.5 min (range, 75–240 min). Mean volume of irrigation fluid was 34.1 ± 15.3 L (range, 18–80 L). There was a significant decrease in Hb concentration from 13.7 ± 1.71 to 12.2 ± 1.4 g/dL, but no patient required blood transfusion. There was a statistically significant reduction in esophageal temperature from 36.4°C ± 0.32°C to 35.2°C ± 0.5°C. There were no significant changes in sodium or potassium concentration before or after PCNL. Conclusions Anesthesia during PCNL for staghorn stones is a challenge because of the possibility of fluid absorption, dilutional anemia, hypothermia, or significant blood loss.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney stones</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - adverse effects</subject><subject>Pain Medicine</subject><subject>Percutaneous nephrolithotomy</subject><subject>Postoperative period</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Urologic surgery</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkl-r1DAQxYMo3vXqV7gsiL61TtK0SR4ULxf_wQUf1OeQTqZuarddk1bYb2_KrizcF58ykN-cOXMYxm44lBx486YvexzC6EYqBYAqQZTA4RHbcK2qQtbCPGYbMLUoNNdwxZ6l1ANA_uBP2RVXujFG1xv29nakNO9oDrjFaUzBU3RzyNXWLzGMP7cHirjMedC0pO1Ih12chjDvpnnaH5-zJ50bEr04v9fsx8cP3-8-F_dfP325u70vUCozF85I3ZkGBCr06DvoWszjuasMrzUJqBHbmppGdR151bpKNaQdJ956iUpW1-z1SfcQp99LNmz3ISENw8mWbbRQUogmgy8fgP20xDF7sxwqaZTSsFLNicI4pRSps4cY9i4eM2TXeG1v_8Vr13gtCJvjzY03Z_ml3ZO_tJ3zzMCrM-ASuqGLbsSQLpzhAiSsC70_cZRT-xMo2oSBRiQfIuFs_RT-7-XdA4mVCnnqLzpSuuxtU26w39ZjWG8BFGRVLqu_9eOxwQ</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>Rozentsveig, Vsevolod, MD</creator><creator>Neulander, Endre Z., MD</creator><creator>Roussabrov, Efim, MD</creator><creator>Schwartz, Andrei, MD</creator><creator>Lismer, Leonard, MD</creator><creator>Gurevich, Boris, MD</creator><creator>Klein, Yosef, MD</creator><creator>Weksler, Natan, MD</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070801</creationdate><title>Anesthetic considerations during percutaneous nephrolithotomy</title><author>Rozentsveig, Vsevolod, MD ; Neulander, Endre Z., MD ; Roussabrov, Efim, MD ; Schwartz, Andrei, MD ; Lismer, Leonard, MD ; Gurevich, Boris, MD ; Klein, Yosef, MD ; Weksler, Natan, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-a948f9602c7cdcdf0fbc9981a39158e205ccb5e667ffed7ba376e8a1e1bd4c743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney stones</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrostomy, Percutaneous - adverse effects</topic><topic>Pain Medicine</topic><topic>Percutaneous nephrolithotomy</topic><topic>Postoperative period</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Urologic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rozentsveig, Vsevolod, MD</creatorcontrib><creatorcontrib>Neulander, Endre Z., MD</creatorcontrib><creatorcontrib>Roussabrov, Efim, MD</creatorcontrib><creatorcontrib>Schwartz, Andrei, MD</creatorcontrib><creatorcontrib>Lismer, Leonard, MD</creatorcontrib><creatorcontrib>Gurevich, Boris, MD</creatorcontrib><creatorcontrib>Klein, Yosef, MD</creatorcontrib><creatorcontrib>Weksler, Natan, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rozentsveig, Vsevolod, MD</au><au>Neulander, Endre Z., MD</au><au>Roussabrov, Efim, MD</au><au>Schwartz, Andrei, MD</au><au>Lismer, Leonard, MD</au><au>Gurevich, Boris, MD</au><au>Klein, Yosef, MD</au><au>Weksler, Natan, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anesthetic considerations during percutaneous nephrolithotomy</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2007-08-01</date><risdate>2007</risdate><volume>19</volume><issue>5</issue><spage>351</spage><epage>355</epage><pages>351-355</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Study Objective To assess anesthesia-related complications during and following percutaneous nephrolithotomy (PCNL) for staghorn stones. Design Prospective study and a detailed case report. Setting Medical center in southern Israel. Patients 20 consecutive patients undergoing PCNL for staghorn stones. Interventions All patients underwent PCNL during general anesthesia. Measurements Duration of surgery, esophageal temperature, hemoglobin (Hb) concentration, and requirements for blood transfusion, mean volume of irrigation fluid, and serum sodium and potassium concentration were recorded. Main Results Mean age was 50.7 ± 14.9 y (range, 26–76 y). Mean duration of the procedure was 120.0 ± 42.5 min (range, 75–240 min). Mean volume of irrigation fluid was 34.1 ± 15.3 L (range, 18–80 L). There was a significant decrease in Hb concentration from 13.7 ± 1.71 to 12.2 ± 1.4 g/dL, but no patient required blood transfusion. There was a statistically significant reduction in esophageal temperature from 36.4°C ± 0.32°C to 35.2°C ± 0.5°C. There were no significant changes in sodium or potassium concentration before or after PCNL. Conclusions Anesthesia during PCNL for staghorn stones is a challenge because of the possibility of fluid absorption, dilutional anemia, hypothermia, or significant blood loss.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17869985</pmid><doi>10.1016/j.jclinane.2007.02.010</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Anesthesia Anesthesia & Perioperative Care Anesthesia - adverse effects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Female Humans Kidney Calculi - surgery Kidney stones Male Medical sciences Middle Aged Nephrostomy, Percutaneous - adverse effects Pain Medicine Percutaneous nephrolithotomy Postoperative period Prospective Studies Surgery Treatment Outcome Urologic surgery |
| title | Anesthetic considerations during percutaneous nephrolithotomy |
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