The Use of Apnea During Ureteroscopy

被引:31
作者
Emiliani, Esteban [1 ]
Talso, Michele [1 ]
Baghdadi, Mohammed [1 ]
Ghanem, Sadam [1 ]
Golmard, Jonathan [1 ]
Pinheiro, Hugo [1 ]
Gkentzis, Agapios [1 ]
Buttice, Salvatore [1 ]
Traxer, Olivier [1 ]
机构
[1] Univ Pierre & Marie Curie Paris IV, Dept Urol, Hop Tenon, Paris, France
关键词
FREQUENCY JET VENTILATION; SHOCK-WAVE LITHOTRIPSY; GENERAL-ANESTHESIA; HOLMIUM LASER; FLEXIBLE URETERORENOSCOPY; SURGERY; CALCULI; ENDOPYELOTOMY; HYPERCAPNIA; MANAGEMENT;
D O I
10.1016/j.urology.2016.06.016
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To describe and discuss the feasibility and the use of apnea during retrograde intrarenal surgery (RIRS). MATERIALS AND METHODS A discussion of the current literature about the different anesthesia techniques and the use of apnea to improve RIRS by avoiding renal movements over diaphragmatic excursion was performed. RESULTS To date, there are no mentions in the literature about the use of apnea as a mechanism to facilitate this procedure that requires extremely precise laser use. A description of the feasibility of apnea during RIRS is described as a technical consideration and discussed. CONCLUSION The use of apnea during RIRS has facilitated the procedure, avoiding renal movements, particularly in special cases where extremely precise maneuvers during laser use are required. (C) 2016 Elsevier Inc.
引用
收藏
页码:266 / 268
页数:3
相关论文
共 20 条
[1]   Ureteroscopic Holmium Laser Endopyelotomy for Ureteropelvic Junction Stenosis After Pyeloplasty [J].
Acher, Peter L. ;
Nair, Raj ;
Abburaju, Jai S. ;
Dickinson, Ian Keith ;
Vohra, Anil ;
Sriprasad, Seshadri .
JOURNAL OF ENDOUROLOGY, 2009, 23 (06) :899-902
[2]   Hypercapnia improves tissue oxygenation [J].
Akça, O ;
Doufas, AG ;
Morioka, N ;
Iscoe, S ;
Fisher, J ;
Sessler, DI .
ANESTHESIOLOGY, 2002, 97 (04) :801-806
[3]   Mild hypercapnia after uncomplicated heart surgery is not associated with hemodynamic compromise [J].
Avidan, Michael S. ;
Ali, Syed Z. ;
Tymkew, Heidi ;
Jacobsohn, Eric ;
De Wet, Charl J. ;
Hill, Laureen L. ;
Pasque, Michael .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2007, 21 (03) :371-374
[4]   Transtracheal high-frequency jet ventilation for endoscopic airway surgery: a multicentre study [J].
Bourgain, JL ;
Desruennes, E ;
Fischler, M ;
Ravussin, P .
BRITISH JOURNAL OF ANAESTHESIA, 2001, 87 (06) :870-875
[5]   Administration of General Anesthesia for Outpatient Orthognathic Surgical Procedures [J].
Cangemi, Charles F., Jr. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (03) :798-807
[6]   Effect of Acute Hypercapnia on Outcomes and Predictive Risk Factors for Complications among Patients Receiving Bronchoscopic Interventions under General Anesthesia [J].
Cheng, Qinghao ;
Zhang, Jieli ;
Wang, Hongwu ;
Zhang, Rujin ;
Yue, Yun ;
Li, Lei .
PLOS ONE, 2015, 10 (07)
[7]   Comparison of two ventilation techniques during general anesthesia for extracorporeal shock wave lithotripsy: High-frequency jet ventilation versus spontaneous ventilation with a laryngeal mask airway [J].
Cormack, John R. ;
Hui, Raymond ;
Olive, David ;
Said, Simone .
UROLOGY, 2007, 70 (01) :7-10
[8]   Oncologic control obtained after exclusive flexible ureteroscopic management of upper urinary tract urothelial cell carcinoma [J].
Cornu, Jean-Nicolas ;
Roupret, Morgan ;
Carpentier, Xavier ;
Geavlete, Bogdan ;
de Medina, Sixtina Gil Diez ;
Cussenot, Olivier ;
Traxer, Olivier .
WORLD JOURNAL OF UROLOGY, 2010, 28 (02) :151-156
[9]   Evolution of the stone treatment over 30 years in a French academic institution [J].
Doizi, S. ;
Raynal, G. ;
Traxer, O. .
PROGRES EN UROLOGIE, 2015, 25 (09) :543-548
[10]   Laser endoureterotomy and endopyelotomy: an update [J].
Emiliani, Esteban ;
Breda, Alberto .
WORLD JOURNAL OF UROLOGY, 2015, 33 (04) :583-587