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Effect of patient positioning on anesthesiologic risk in endourological procedures

OBJECTIVE: The objective is to compare supine and prone positions in terms of arterial blood gas during lithotripsy endourology procedures in different stages. MATERIAL AND METHODS: Cases of during lithotripsy endourology procedures in our department from March to September 2020 were included prospe...

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Autores principales: Vrettos, Theofanis, Martinez, Begona Ballesta, Tsaturyan, Arman, Liourdi, Despoina, Al-Aown, Abdulrahman, Lattarulo, Marco, Liatsikos, Evangelos, Kallidonis, Panagiotis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471805/
https://www.ncbi.nlm.nih.gov/pubmed/37664107
http://dx.doi.org/10.4103/ua.ua_113_22
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author Vrettos, Theofanis
Martinez, Begona Ballesta
Tsaturyan, Arman
Liourdi, Despoina
Al-Aown, Abdulrahman
Lattarulo, Marco
Liatsikos, Evangelos
Kallidonis, Panagiotis
author_facet Vrettos, Theofanis
Martinez, Begona Ballesta
Tsaturyan, Arman
Liourdi, Despoina
Al-Aown, Abdulrahman
Lattarulo, Marco
Liatsikos, Evangelos
Kallidonis, Panagiotis
author_sort Vrettos, Theofanis
collection PubMed
description OBJECTIVE: The objective is to compare supine and prone positions in terms of arterial blood gas during lithotripsy endourology procedures in different stages. MATERIAL AND METHODS: Cases of during lithotripsy endourology procedures in our department from March to September 2020 were included prospectively. The variables registered were body mass index, age, the American Society of Anesthesiologists (ASA) score, diabetes mellitus, positive end-expiratory pressure (PEEP), FiO(2), stone size, stone location, procedural type, position, procedure duration, PaO(2), SaO(2), PaCO(2), pH, and dynamic compliance. PaO(2), SaO(2), PaCO(2,) pH, and dynamic compliance were recorded at the beginning of the procedure, 5 min later, 15 min later, and at the end of the procedure. RESULTS: Thirty patients in prone position and 30 in lithotomy position were included in this study. Patients in prone position underwent percutaneous nephrolithotomy, and patients in supine/lithotomy underwent retrograde intrarenal surgery or ureteroscopy. Statistically significant differences were found in PEEP, duration, PaO(2) at the beginning, SaO(2) at the beginning and at the end of the procedure, PaCO(2) at the beginning and at minute 5 and pH at the beginning of the surgery. The saturation PaO2 increased significantly on prone position and was statistically significantly better at the end of the surgery. CONCLUSIONS: Both prone and supine positions were safe regarding anesthesiologic risk and had no clinically relevant differences in terms of individual comparisons in arterial blood gas parameters in static moments of the procedure. Prone position was related to an increase in PaO(2) and a drop in PaCO(2) gradually from the beginning to the end of the surgery.
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spelling pubmed-104718052023-09-02 Effect of patient positioning on anesthesiologic risk in endourological procedures Vrettos, Theofanis Martinez, Begona Ballesta Tsaturyan, Arman Liourdi, Despoina Al-Aown, Abdulrahman Lattarulo, Marco Liatsikos, Evangelos Kallidonis, Panagiotis Urol Ann Original Article OBJECTIVE: The objective is to compare supine and prone positions in terms of arterial blood gas during lithotripsy endourology procedures in different stages. MATERIAL AND METHODS: Cases of during lithotripsy endourology procedures in our department from March to September 2020 were included prospectively. The variables registered were body mass index, age, the American Society of Anesthesiologists (ASA) score, diabetes mellitus, positive end-expiratory pressure (PEEP), FiO(2), stone size, stone location, procedural type, position, procedure duration, PaO(2), SaO(2), PaCO(2), pH, and dynamic compliance. PaO(2), SaO(2), PaCO(2,) pH, and dynamic compliance were recorded at the beginning of the procedure, 5 min later, 15 min later, and at the end of the procedure. RESULTS: Thirty patients in prone position and 30 in lithotomy position were included in this study. Patients in prone position underwent percutaneous nephrolithotomy, and patients in supine/lithotomy underwent retrograde intrarenal surgery or ureteroscopy. Statistically significant differences were found in PEEP, duration, PaO(2) at the beginning, SaO(2) at the beginning and at the end of the procedure, PaCO(2) at the beginning and at minute 5 and pH at the beginning of the surgery. The saturation PaO2 increased significantly on prone position and was statistically significantly better at the end of the surgery. CONCLUSIONS: Both prone and supine positions were safe regarding anesthesiologic risk and had no clinically relevant differences in terms of individual comparisons in arterial blood gas parameters in static moments of the procedure. Prone position was related to an increase in PaO(2) and a drop in PaCO(2) gradually from the beginning to the end of the surgery. Wolters Kluwer - Medknow 2023 2023-06-16 /pmc/articles/PMC10471805/ /pubmed/37664107 http://dx.doi.org/10.4103/ua.ua_113_22 Text en Copyright: © 2023 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Vrettos, Theofanis
Martinez, Begona Ballesta
Tsaturyan, Arman
Liourdi, Despoina
Al-Aown, Abdulrahman
Lattarulo, Marco
Liatsikos, Evangelos
Kallidonis, Panagiotis
Effect of patient positioning on anesthesiologic risk in endourological procedures
title Effect of patient positioning on anesthesiologic risk in endourological procedures
title_full Effect of patient positioning on anesthesiologic risk in endourological procedures
title_fullStr Effect of patient positioning on anesthesiologic risk in endourological procedures
title_full_unstemmed Effect of patient positioning on anesthesiologic risk in endourological procedures
title_short Effect of patient positioning on anesthesiologic risk in endourological procedures
title_sort effect of patient positioning on anesthesiologic risk in endourological procedures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471805/
https://www.ncbi.nlm.nih.gov/pubmed/37664107
http://dx.doi.org/10.4103/ua.ua_113_22
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