Irrigation Fluid Absorption during PCNL: Hematological and Electrolyte Consequences | Chapter 8 | Medical Science: Trends and Innovations Vol. 3

 Aim: Percutaneous Nephro Lithotripsy (PCNL) is considered one of the most effective treatment methods for renal and upper ureter calculi measuring >2cm but risk factors for increased irrigation fluid absorption and immediate changes in post-operative patient vitals and hematological profiles have not been identified as that of TURP. Hence the study was conducted to evaluate changes in post of vital parameters, complete blood count and serum electrolytes and their correlation to common factors which is known to affect fluid absorption

Methodology: Thirty-three ASA class I & II patients aged between 18-65 years undergoing PCNL surgery were selected and pre-operative and post-operative heart rate, systolic and Diastolic blood pressure, Temperature, Complete blood count and serum electrolytes were recorded and compared using the student t-test. Correlation post-operative values with the total duration of surgery, total duration of irrigation, TVIRF volume and total intravenous fluid was found with Pearson’s correlation coefficient.

Results: There were statistically significant changes in post-operative blood indices and electrolytes. Post-operative hemodynamic parameters DBP and TEMP had significant changes. Also, there was a significant correlation between these changes with total duration of surgery (TDS), total duration of irrigation (TDIR), total volume of intravenous fluid (TVIVF), and total volume of irrigation fluid (TVIRF) used.

Interpretation and Conclusion: There is a statistically significant fall in blood indices, electrolytes and hemodynamic values with increased IRF absorption.

 

Author (s) Details

 

Swetha Ramani C K
Department of Anaesthesiology, SRM Medical College and Research Center, Kattangulathur-603203, India.

 

Geethu Sivan
Department of Anaesthesiology, SRM Medical College and Research Center, Kattangulathur-603203, India.

 

Pushparani Anand
Department of Anaesthesiology, SRM Medical College and Research Center, Kattangulathur-603203, India.

 

Karthik Kandan
Department of Anaesthesiology, SRM Medical College and Research Center, Kattangulathur-603203, India.

Mirunalini Gunaseelan
Department of Anaesthesiology, SRM Medical College and Research Center, Kattangulathur-603203, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/msti/v3/4034

Comparative Overview on Standard and Tubeless Percutaneous Nephrolithotomy for Renal Calculi | Chapter 10 | Advanced Concepts in Medicine and Medical Research Vol. 9

 The objective of the study search out find out patch test alacrity rate in the specific domain in patients with doubtful allergic contact dermatitis (ACD) for fear that proper management of the cases can be finished. Contact dermatitis is an inflammatory condition of the skin following in position or time exposure to any exogenic substance. It maybe classified as irritant contact rash (ICD) and allergic contact dermatitis (ACD). For judging the patch test positivity rate, a cross-localized study was arranged in Wise person Gandhi Hospital. This was done over a ending of 3 months duration from March-Can 2016. The number of participation was 68 the one were suspected of contact dermatitis. All the sufferers were patch tested using the Aboriginal american Standard Series consisting of twenty coarse contact allergens which is certified by Contact and Occupational Dermatoses Forum of India (CODFI). Ultimate common allergen establish to be helpful in both males and women was Parthenium followed by fragrance join. Patch testing should be observed in mind when dealing with cases of doubtful ACD, anogenital dermatitis, delayed sensitivity type cutaneous adverse drug reactions and particular site never-ending dermatitis.

Author(s) Details:

Manu Muraleedharan Kamalakshi,
Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Vasantharaja Ramasamy,
Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Darsan Sadasivan,
Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Sunil Raveendran,
Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Selvam Paramasivam,
Department of Social and Preventive Medicine, Government Medical College, Tiruchirappalli, Tamil Nadu, India

Venugopal Ganapathy,
Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V9/article/view/12854