Reducing kidney motion: Optimizing anesthesia and combining respiratory support for retrograde intrarenal surgery: A pilot study
Gadzhiev N., Oibolatov U., Kolotilov L., Parvanyan S., Akopyan G. N., Petrov S., Cottone C. M., Sung J., Okhunov Z.
BMC Urology
Vol.19, Issue1, Num.61
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.1186/s12894-019-0491-3
Аннотация:
Background: One of the greatest challenges presented with RIRS is the potential for movement of the stone within the operative field associated with diaphragm and chest respiratory excursions due to mechanical ventilation. To overcome this challenge, we propose in this pilot study a new general anesthesia technique combining high frequency jet ventilation (HFJV) with small volume mechanical ventilation (SVMV). Data regarding safety, feasibility and surgeons' impression was assessed. Methods: Patients undergoing RIRS for kidney stones from November 2017 to May 2018 were prospectively recruited to participate in the study. In each case after the beginning of general anesthesia (GA) with mechanical ventilation (MV) surgeons were asked to assess the mobility of the operative field and conditions for laser lithotripsy according to the developed questionnaire scale. The questionnaire consisted of 5 degrees of assessment of kidney mobility and each question was scored from 1 to 5, 1 being ver
Ключевые слова:
Combined respiratory support (CRS); General anesthesia (GA); High frequency jet ventilation (HFJV); Mechanical ventilation (MV); Nephrolithiasis; Periodic apnea (PA); Retrograde intrarenal surgery (RIRS); Shockwave lithotripsy (SWL); Urolithiasis
adult; anesthesia; Article; artificial ventilation; assisted ventilation; breathing rate; clinical article; clinical trial; feasibility study; general anesthesia; high frequency jet ventilation; human; kidney motion; kidney surgery; laser lithotripsy; middle aged; motion; nephrolithiasis; patient safety; physician attitude; pilot study; process optimization; prospective study; retrograde intrarenal surgery; small volume mechanical ventilation; tidal volume; female; lithotripsy; male; nephrolithiasis; procedures; Anesthesia, General; Female; Humans; Kidney Calculi; Lithotripsy; Male; Middle Aged; Pilot Projects; Respiration, Artificial
Язык текста: Английский
ISSN: 1471-2490
Gadzhiev N.
Oibolatov U.
Kolotilov L.
Parvanyan S.
Akopyan G. N. Gagik Nersesovich 1982-
Petrov S.
Cottone C. M.
Sung J.
Okhunov Z.
Гаджиев Н.
Оиболатов У.
Колотилов Л.
Парванян С.
Акопян Г. Н. Гагик Нерсесович 1982-
Петров С.
Cоттоне C. М.
Сунг Й.
Охунов З.
Reducing kidney motion: Optimizing anesthesia and combining respiratory support for retrograde intrarenal surgery: A pilot study
Текст визуальный непосредственный
BMC Urology
BioMed Central Ltd.
Vol.19, Issue1 Num.61
2019
Статья
Combined respiratory support (CRS) General anesthesia (GA) High frequency jet ventilation (HFJV) Mechanical ventilation (MV) Nephrolithiasis Periodic apnea (PA) Retrograde intrarenal surgery (RIRS) Shockwave lithotripsy (SWL) Urolithiasis
adult anesthesia Article artificial ventilation assisted ventilation breathing rate clinical article clinical trial feasibility study general anesthesia high frequency jet ventilation human kidney motion kidney surgery laser lithotripsy middle aged motion nephrolithiasis patient safety physician attitude pilot study process optimization prospective study retrograde intrarenal surgery small volume mechanical ventilation tidal volume female lithotripsy male nephrolithiasis procedures Anesthesia, General Female Humans Kidney Calculi Lithotripsy Male Middle Aged Pilot Projects Respiration, Artificial
Background: One of the greatest challenges presented with RIRS is the potential for movement of the stone within the operative field associated with diaphragm and chest respiratory excursions due to mechanical ventilation. To overcome this challenge, we propose in this pilot study a new general anesthesia technique combining high frequency jet ventilation (HFJV) with small volume mechanical ventilation (SVMV). Data regarding safety, feasibility and surgeons' impression was assessed. Methods: Patients undergoing RIRS for kidney stones from November 2017 to May 2018 were prospectively recruited to participate in the study. In each case after the beginning of general anesthesia (GA) with mechanical ventilation (MV) surgeons were asked to assess the mobility of the operative field and conditions for laser lithotripsy according to the developed questionnaire scale. The questionnaire consisted of 5 degrees of assessment of kidney mobility and each question was scored from 1 to 5, 1 being ver