Köro?lu A.To?al T.Çiçek M.Kiliç S.Ayas A.Ersoy M.Ö.2024-08-042024-08-0420031304-0871https://hdl.handle.net/11616/91453This 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.trinfo:eu-repo/semantics/closedAccessFluid-electrolyte balanceHemodinamicsIrrigation fluidPercutaneous nephrolithotripsyArticle3141741782-s2.0-0142073913N/A