Effects of Irrigation Fluid Volume and Irrigation Time on Fluid Electrolyte Balance and Hemodynamics in Percutaneous Nephrolithotripsy
Küçük Resim Yok
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
This study was performed to determine fluid-electrolyte and hemodynamics changes and complications associated with irrigation fluid volume and irrigation time in percutaneous nephrolithotripsy (PNL) in which 0.9 % NaCl was used. Mean arterial pressure (MAP), heart rate (HR), central venous pressure (CVP), Na+, K+, osmolality (Osm), haemoglobin, haematocrit values of 22 cases that were included into the study were recorded before, during and after irrigation every 10 minutes. Creatinine (Cre), blood urea nitrogen (BUN) were determined before and after irrigation. Moreover, operation and irrigation time, irrigation fluid volume, and complications were recorded. Mean time of operation and irrigation, irrigation fluid volume were determined 125.45 min, 69.40 min, 24.22 L, respectively. MAP, HR, CVP, Na +, K+, Osm did not significantly change during and after irrigation when compared to before irrigation. Fair degree of positive relationship was determined between irrigation fluid volume and Na+, CVP values after irrigation. Also significant positive relationship was determined between irrigation fluid volume and CVP during irrigation. Only significant positive relationship was determined between irrigation time and Na+ after irrigation. One case who developed pneumothorax developed during procedure was treated by inserting a thoracal tube. As a result, we established that there were no clinically significant changes in both fluid-electrolyte balance and hemodynamics related to irrigation fluid volume and irrigation time when 0.9 % NaCl was used in PNL. However we suggested that MAP, CVP, Na+ and Osm should be monitored closely when extensive amount of irrigation fluid volume and irrigation time were used.
Açıklama
Anahtar Kelimeler
Fluid-electrolyte balance, Hemodinamics, Irrigation fluid, Percutaneous nephrolithotripsy
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
31
Sayı
4
