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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Format: | Article |
Language: | Spanish |
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2018-10-01
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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> |
first_indexed | 2024-12-18T02:21:18Z |
format | Article |
id | doaj.art-adbb0ea6d0394679a3e394865c843efd |
institution | Directory Open Access Journal |
issn | 1726-6718 |
language | Spanish |
last_indexed | 2024-12-18T02:21:18Z |
publishDate | 2018-10-01 |
publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
record_format | Article |
series | Revista Cubana de Anestesiología y Reanimación |
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 |
work_keys_str_mv | AT reinierhernandezgonzalez acuterespiratoryfailureasaperioperativecomplicationofpercutaneousnephrolithotomyenpatientswithtotalcoraliformlithiasis AT asdanybautegarmendia acuterespiratoryfailureasaperioperativecomplicationofpercutaneousnephrolithotomyenpatientswithtotalcoraliformlithiasis AT cristinacentenocastillo acuterespiratoryfailureasaperioperativecomplicationofpercutaneousnephrolithotomyenpatientswithtotalcoraliformlithiasis |