Naslov
Complications of massive intraabdominal extravasation of fluid during percutaneous nephrolithotomy- case report

Autori
Miličević, Nevenka ; Kuveždić, Hrvoje ; Majdenić-Štaba, Aurelija ; Ivić, Dubravka ; Došen, Gordana ; Škiljić, Sonja ; Miličević, Luka

Vrsta, podvrsta i kategorija rada
Radovi u zbornicima skupova, cjeloviti rad (in extenso), stručni

Izvornik
Četvrti Beogradski anestezija forum Beograd, 05-07. april 2019 / - , 2019, 245-248

Skup
Četvrti Beogradski anestezija forum Beograd, 05-07. april 2019

Mjesto i datum
Beograd, Srbija, 05.04.2019. - 07.04.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
percutaneous nephrolithotomy, irrigation fluid absorption, hyponatremia, hypotonic sodium chloride

Sažetak
We report a case of transurethral resection of prostate (TURP) like syndrome of a 56-year-old female patient who underwent elective percutaneous nephrolithotomy (PCNL) under general anesthesia. Hypotonic sodium chloride (NaCl) solution was used in the procedure. 70 minutes intothe surgery end-tidal CO2 (EtCO2) significantly dropped and the patient was first hypertensive, then hypotensive, cyanotic, hypoxicand hyponatremic. Additionally, the patientdeveloped severe postoperative complications including acute renal insufficiency, acute pancreatitis, persistent pleural effusion. The patient alsounderwent necrosectomy procedure due to purulent and necrotic tissue in the lumbotomy incision and the removal of left perirenal abscess and hematoma. Hypotonic NaCl solution used in this PCNL procedure was inappropriate irrigation fluid.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA