Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis

<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Renal lithiasis accounts for 20-30 % of urology consultations worldwide. <br /> <strong>Objective:</strong> To identify the frequency of acute...

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Main Authors: Reinier Hernández González, Asdany Baute Garmendia, Cristina Centeno Castillo
Format: Article
Language:Spanish
Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2018-10-01
Series:Revista Cubana de Anestesiología y Reanimación
Subjects:
Online Access:http://www.revanestesia.sld.cu/index.php/anestRean/article/view/56
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author Reinier Hernández González
Asdany Baute Garmendia
Cristina Centeno Castillo
author_facet Reinier Hernández González
Asdany Baute Garmendia
Cristina Centeno Castillo
author_sort Reinier Hernández González
collection DOAJ
description <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Renal lithiasis accounts for 20-30 % of urology consultations worldwide. <br /> <strong>Objective:</strong> To identify the frequency of acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy in patients with total staghorn lithiasis. <br /> <strong>Methods:</strong> A descriptive study was conducted with patients diagnosed with staghorn lithiasis and admitted for elective percutaneous nephrolithotomy at Hermanos Ameijeiras Clinical-Surgical Hospital between September 1st, 2014 and January 28, 2017.<br /> <strong>Results:</strong> 55 patients were studied. There was a significant predominance of women (70.9 % versus 29.1 %, Z=3.0511, p= 0.0023). The minimum age was 23 years and the maximum age, 70 years. The average age was 49.75 years. It can be observed that 50.9 % of the patients were ASA I, 32.7% were ASA II, and 16.4 % were ASA III. The most frequent risk factors were renal sepsis and nephritic colic (58.2 % and 56.4 %, respectively). Among the non-communicable chronic diseases, the most frequent were arterial hypertension and ischemic heart disease. The habit of smoking was present in 47.3 % of the total, as well as alcohol consumption (18.2 %). All patients received general anesthesia. Surgical time predominated at length between 2 and 3 hours (67.3 %). There were no complications during the intraoperative period. In the postoperative period, 23.6 % had mild hypoxemia, 5.5 % moderate hypoxemia and 3.6 %, severe hypoxemia. <br /> <strong>Conclusions:</strong> Acute respiratory failure was corroborated as a perioperative complication of percutaneous nephrolithotomy in patients with total staghorn lithiasis. </span>
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spelling doaj.art-adbb0ea6d0394679a3e394865c843efd2022-12-21T21:24:10ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-10-0117155Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasisReinier Hernández González0Asdany Baute GarmendiaCristina Centeno CastilloEditorial Ciencias Médicas. La Habana<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Renal lithiasis accounts for 20-30 % of urology consultations worldwide. <br /> <strong>Objective:</strong> To identify the frequency of acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy in patients with total staghorn lithiasis. <br /> <strong>Methods:</strong> A descriptive study was conducted with patients diagnosed with staghorn lithiasis and admitted for elective percutaneous nephrolithotomy at Hermanos Ameijeiras Clinical-Surgical Hospital between September 1st, 2014 and January 28, 2017.<br /> <strong>Results:</strong> 55 patients were studied. There was a significant predominance of women (70.9 % versus 29.1 %, Z=3.0511, p= 0.0023). The minimum age was 23 years and the maximum age, 70 years. The average age was 49.75 years. It can be observed that 50.9 % of the patients were ASA I, 32.7% were ASA II, and 16.4 % were ASA III. The most frequent risk factors were renal sepsis and nephritic colic (58.2 % and 56.4 %, respectively). Among the non-communicable chronic diseases, the most frequent were arterial hypertension and ischemic heart disease. The habit of smoking was present in 47.3 % of the total, as well as alcohol consumption (18.2 %). All patients received general anesthesia. Surgical time predominated at length between 2 and 3 hours (67.3 %). There were no complications during the intraoperative period. In the postoperative period, 23.6 % had mild hypoxemia, 5.5 % moderate hypoxemia and 3.6 %, severe hypoxemia. <br /> <strong>Conclusions:</strong> Acute respiratory failure was corroborated as a perioperative complication of percutaneous nephrolithotomy in patients with total staghorn lithiasis. </span>http://www.revanestesia.sld.cu/index.php/anestRean/article/view/56litiasis coraliformenefrolitotomía percutáneacomplicaciones
spellingShingle Reinier Hernández González
Asdany Baute Garmendia
Cristina Centeno Castillo
Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
Revista Cubana de Anestesiología y Reanimación
litiasis coraliforme
nefrolitotomía percutánea
complicaciones
title Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
title_full Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
title_fullStr Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
title_full_unstemmed Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
title_short Acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
title_sort acute respiratory failure as a perioperative complication of percutaneous nephrolithotomy en patients with total coraliform lithiasis
topic litiasis coraliforme
nefrolitotomía percutánea
complicaciones
url http://www.revanestesia.sld.cu/index.php/anestRean/article/view/56
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AT cristinacentenocastillo acuterespiratoryfailureasaperioperativecomplicationofpercutaneousnephrolithotomyenpatientswithtotalcoraliformlithiasis