PCNL in COPD patient in the sit position under local infiltration anesthesia case report
Abstract Background Percutaneous nephrolithotomy is traditionally performed in the prone or supine position. We report the first case of percutaneous nephrolithotomy in sit position under local infiltration anesthesia. Case summary A 69-year-old male presented with left flank pain. Kidney B ultrasou...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Urology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12894-020-00640-3 |
| _version_ | 1830518669184073728 |
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| author | Jianpo Zhai Hai Wang Xiao Xu Zhenhua Liu Libo Man |
| author_facet | Jianpo Zhai Hai Wang Xiao Xu Zhenhua Liu Libo Man |
| author_sort | Jianpo Zhai |
| collection | DOAJ |
| description | Abstract Background Percutaneous nephrolithotomy is traditionally performed in the prone or supine position. We report the first case of percutaneous nephrolithotomy in sit position under local infiltration anesthesia. Case summary A 69-year-old male presented with left flank pain. Kidney B ultrasound and computed tomography scan showed multiple left renal calculi and hydronephrosis. He had a long history of chronic obstructive pulmonary disease, with severe ventilatory and cardiac dysfunction, and cannot tolerate the prone or supine position. The patient received the surgery in sit position under local infiltration anesthesia. The operative time was 1 h. The visual analogue scale score during the surgery was 3. The patient had no intraoperative and postoperative complications. The postoperative plain radiography showed no residual stone fragments. Conclusions We believe that in high-risk patients who need to undergo PCNL, a combination of sit position and local infiltration anesthesia is an alternative method. |
| first_indexed | 2024-12-22T04:23:58Z |
| format | Article |
| id | doaj.art-aaf9ab9d8e8041b6a470dc0eedb5b78c |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-22T04:23:58Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-aaf9ab9d8e8041b6a470dc0eedb5b78c2022-12-21T18:39:12ZengBMCBMC Urology1471-24902020-06-012011410.1186/s12894-020-00640-3PCNL in COPD patient in the sit position under local infiltration anesthesia case reportJianpo Zhai0Hai Wang1Xiao Xu2Zhenhua Liu3Libo Man4Department of Urology, Beijing Jishuitan HospitalDepartment of Urology, Beijing Jishuitan HospitalDepartment of Urology, Beijing Jishuitan HospitalDepartment of Urology, Beijing Jishuitan HospitalDepartment of Urology, Beijing Jishuitan HospitalAbstract Background Percutaneous nephrolithotomy is traditionally performed in the prone or supine position. We report the first case of percutaneous nephrolithotomy in sit position under local infiltration anesthesia. Case summary A 69-year-old male presented with left flank pain. Kidney B ultrasound and computed tomography scan showed multiple left renal calculi and hydronephrosis. He had a long history of chronic obstructive pulmonary disease, with severe ventilatory and cardiac dysfunction, and cannot tolerate the prone or supine position. The patient received the surgery in sit position under local infiltration anesthesia. The operative time was 1 h. The visual analogue scale score during the surgery was 3. The patient had no intraoperative and postoperative complications. The postoperative plain radiography showed no residual stone fragments. Conclusions We believe that in high-risk patients who need to undergo PCNL, a combination of sit position and local infiltration anesthesia is an alternative method.http://link.springer.com/article/10.1186/s12894-020-00640-3Percutaneous NephrolithotomySit positionLocal anesthesiaRenal calculiCase report |
| spellingShingle | Jianpo Zhai Hai Wang Xiao Xu Zhenhua Liu Libo Man PCNL in COPD patient in the sit position under local infiltration anesthesia case report BMC Urology Percutaneous Nephrolithotomy Sit position Local anesthesia Renal calculi Case report |
| title | PCNL in COPD patient in the sit position under local infiltration anesthesia case report |
| title_full | PCNL in COPD patient in the sit position under local infiltration anesthesia case report |
| title_fullStr | PCNL in COPD patient in the sit position under local infiltration anesthesia case report |
| title_full_unstemmed | PCNL in COPD patient in the sit position under local infiltration anesthesia case report |
| title_short | PCNL in COPD patient in the sit position under local infiltration anesthesia case report |
| title_sort | pcnl in copd patient in the sit position under local infiltration anesthesia case report |
| topic | Percutaneous Nephrolithotomy Sit position Local anesthesia Renal calculi Case report |
| url | http://link.springer.com/article/10.1186/s12894-020-00640-3 |
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