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Published on: July 19, 2018
[Effects of irrigating fluid absorption in percutaneous nephrolithotripsy]
Ming-Hua Ren1, Shao-Bin Ni, Qi-Yin Chen
1Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
Zhonghua Yi Xue Za Zhi
|April 2, 2010
Summary
Low pressure and short irrigation times are safe during percutaneous nephrolithotripsy. Prolonged irrigation and bleeding increase risks of congestive heart failure and post-operative infections.
Area of Science:
- Nephrology
- Urology
- Surgical Technology
Context:
- Percutaneous nephrolithotripsy (PCNL) is a common procedure for kidney stone removal.
- Irrigation fluid management during PCNL is critical for patient safety.
- Understanding the impact of irrigation time on hemodynamic status and complications is essential.
Purpose:
- To evaluate the hemodynamic status, fluid-electrolyte balance, and complications related to irrigation time in PCNL.
- To identify risk factors associated with prolonged irrigation during PCNL.
- To establish safe irrigation parameters for PCNL procedures.
Summary:
- This study analyzed 68 PCNL patients, monitoring hemodynamic parameters, fluid-electrolyte levels, and complications.
- Results showed no significant changes in central venous pressure (CVP), heart rate, or electrolytes, but mean arterial pressure (MAP) increased with longer irrigation and bleeding.
- Increased irrigation time correlated with higher fever rates and elevated CVP, while furosemide administration helped reduce CVP.
Impact:
- Findings suggest that maintaining low pressure and short irrigation times in PCNL is safe.
- Prolonged irrigation and significant bleeding are associated with increased risks of congestive heart failure and post-operative infections.
- This research provides evidence-based recommendations for optimizing PCNL procedures to minimize patient morbidity.
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