Factors related to change of perioperative electrolytes and arterial blood gas in patients with percutaneous nephrolithotripsy

Hoàng Phương Vũ, Khương Hải Yến, Phạm Quang Minh

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Abstract

The purpose of the study was to describe factors related to intraoperative arterial blood gas and electrolyte changes in patients with percutaneous nephrolithotripsy. A sample size of 89 patients undergoing selective percutaneous nephrolithotripsy was evaluated for changes of arterial blood gas and electrolytes before and after surgery at the Center for Anesthesia & Surgical Intensive Care - Viet Duc Hospital from March to June 2020. The concentrations of sodium, potassium, pH and lactate were not correlated with the time of the lithotripsia, the volume of the irrigation solution, the volume of the absorbed liquid (p > 0,05). Clorid concentration was closely correlated with lithotripsy time (r = 0,8; p < 0,05). Similarly, HCO3, BE concentrations were closely correlated with lithotripsy time (r = 0.8 & 0.81), the volume of the irrigation solution (r = 0.82 & 0.84), the volume of the absorbed liquid (r = 0.77 & 0.74), p < 0.05. Our study showed that intraoperative factors such as lithotripsy time, volume of irrigation solution, volume of absorbed fluid were closely related to changes in arterial blood gas and electrolytes in patients undergoing percutaneous nephrolithotripsy.

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References

1. Skolarikos A dlRJ. Prevention and treatment of complications following percutaneous nephrolithotomy. Curr Opin Urol. 2008;18(2):229-234.
2. Sinclair JF HA, Baraza R, Telfer AB. Absorption of 1.5% glycine after percutaneous ultrasonic lithotripsy for renal stone disease. Br Med J. 1985;291:691-692.
3. Saxena D SD, Dixit A, Chipde S, Agarwal S. Effects of fluid absorption following percutaneous nephrolithotomy: Changes in blood cell indices and electrolytes. Urol Ann. 2019;11(2):163 - 167.
4. Malhotra SK KA, Goswami AK et al. Monitoring of irrigation fluid absorption during percutaneous nephrolithotripsy: the use of 1% ethanol as a marker. Anaesthesia. 2001;56:1090–1115.
5. Mohta M BT, Tyagi A, Pendse M, Sethi AK. Haemodynamic, electrolyte and metabolic changes during percutaneous nephrolithotomy. Int Urol Nephrol. 2008;40(2):477- 482.
6. Atıcı Ş ZSAA. Hormonal and hemodynamic changes during percutaneous nephrolithotomy. Int Urol Nephrol. 2001;32:311-314.
7. Koroglu A TT, Cicek M. The effects of irrigation fluid volume and irrigation time on fluid electrolyte balance and hemodynamics in percutaneous nephrolithotripsy. Int Urol Nephrol. 2003;35:1-6.
8. Tekgul ZT PS, Yildirim U, Karaman Y, Cakmak M, Ozkarakas H, Gonullu M. A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy. J Anesth. 2015;29(2):165-169.
9. Gupta A PR, Singh V et al. Comparative study of electrolytes and metabolic changes during percutaneous nephrolithotomy: spinal vs. general anaesthesia. International Journal of Clinical Trials. 2014;1(2):41-48.
10. Rudy DC, Woodside JR, Borden TA, Ball WS. Adult respiratory distress syndrome complicating percutaneous nephrolithotripsy. Urology 1984; 23(4): 376–377.