Application of Spinal Anesthesia for Percutaneous Nephrolithotomy (PCNL)
Introduction & Objective:: PCNL is the treatment of choice for renal calculi larger than 20-3o millimeter, staghorn stones and stones that are multiple or resistant to ESWL. The aim of this study was the evaluating of the impact of spinal anesthesia on intraoperative and postoperative outcome in...
| Main Authors: | , |
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| Format: | Article |
| Language: | fas |
| Published: |
Yasuj University Of Medical Sciences
2008-07-01
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| Series: | Armaghane Danesh Bimonthly Journal |
| Subjects: | |
| Online Access: | http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-32&slc_lang=en&sid=1 |
| Summary: | Introduction & Objective:: PCNL is the treatment of choice for
renal calculi larger than 20-3o millimeter, staghorn stones and
stones that are multiple or resistant to ESWL. The aim of this study
was the evaluating of the impact of spinal anesthesia on
intraoperative and postoperative outcome in patients undergoing
PCNL.
Material & Methods: The intraoperative and postoperative
anesthetic and surgical variables were evaluated for hundred and
twenty consecutive patients underwent PCNL. Anesthetic and
surgical variables during and after operation in patient undergoing
PCNL under spinal anesthesia were recorded and collected data
were analyzed by SPSS software using chi square test.
Results: Mean time of operation from the beginning of anesthesia
to the end of operation was 98±45 minutes. Mean stone size was
3.1±1.8 cm. Mean time for return of sensory and motor activity
were135±22.7 and 112±35.7 minutes respectively. Major
intraoperative or postoperative complications such as visceral or
vascular injury and unusual bleeding did not occur in any of
patients. Five patients needed transfusion of 1 unit pack cell and
four patients complain from mild to moderate headache and
dizziness and also mild low back pain for 2-4 days after operation
that improved with analgesics and bed rest.
Conclusion: Spinal anesthesia is safe and effective and also
comfortable for performing PCNL and is a good alternative for
general anesthesia in adult patients. |
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| ISSN: | 1728-6506 1728-6514 |