Anesthesia and the Renal and Genitourinary Systems

Malhotra, Vinod; Sudheendra, Vijayendra; OʼHara, Jerome F.; Diwan, Sudhir

doi:10.1016/b978-0-443-06959-8.00065-0

Cited by 29 publications

(30 citation statements)

References 154 publications

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“…As thiopentone and benzodiazepines extensively bind to albumin, their free fraction is increased and a greater proportion of the administered drug reaches to the receptor sites. [16] Their metabolites are also pharmacologically active and so potentiate their clinical effect. However, dose recommendations are not available in the literature.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: Report of a rare case

Datt¹,

Tempe²,

Arora³

et al. 2012

Ann Card Anaesth

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The congenital nephrotic syndrome (NS) in infancy and childhood is an important entity but combination with acyanotic congenital heart disease is uncommon. Anesthesia in such cases is challenging because of associated problems like hypo-protienemia, anti-thrombin III deficiency, edema, hyperlipidemia, coagulopathy, cardiomyopathy, immunodeficiency, increased lung water etc. We describe anesthetic management of a patient with childhood NS and sinus venosus atrial septal defect (ASD) undergoing open heart surgery. We also suggest guidelines for safe conduct of anesthesia and CPB in such patients.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: Report of a rare case

Datt¹,

Tempe²,

Arora³

et al. 2012

Ann Card Anaesth

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“…Previous studies reported that a spinal block higher than L1 would be adequate during TURP surgery, when bladder pressure is monitored and kept low 10 . However, when intravesical pressure monitoring was not available -as in our study -a sensory block extending to T10 dermatome is necessary 11 . As known, systemic hypotension and bradycardia are the most common side effects during central neural blocks 12 .…”

Section: Discussionmentioning

confidence: 99%

Raquianestesia com dose baixa da combinação de bupivacaína e fentanil: uma boa alternativa para a cirurgia de ressecção transuretral de próstata em pacientes idosos em regime ambulatorial

Akçaboy¹,

Akçaboy²,

Mutlu³

et al. 2012

Rev. Bras. Anestesiol.

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“…Providing stable anesthesia is essential for these patients to minimize hemodynamic changes. Under the general anesthesia, it could be diicult to realize complications such as TUR syndrome and bladder perforation, so regional anesthesia is recommended for TURP operations [48,49]. Side efects of TUR BT is bladder perforation that has a reported incidence of 0.9-5% and presents with the signs and symptoms of inability to distend the bladder, low return of irrigation solution, abdominal distension and tachycardia [50].…”

Section: Complicationsmentioning

confidence: 99%

Anesthesia for Urological Surgery

Tekgül¹,

Horsanalı²,

OzanHorsanali³

2017

Current Topics in Anesthesiology

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Because of the variable techniques and patients' positions used in urological surgery, anesthesia for urologic surgery requires advanced knowledge and special transactions. In this mater, it is important to follow current approaches for anesthesiologists. Diferent surgical procedures and complications due to diferent positions or anesthesia were evaluated separately to be more concise. We have researched recent literature and created this chapter about new technologies in urological surgery and development in anesthesia for urological surgery.Keywords: urological anesthesia, anesthesia management, anesthesia complications, urological surgery complications IntroductionAnesthesia for urological surgery includes unique distinctive diferences, as in all other surgical departments. Therefore, anesthesia for urological surgery requires featured training and experience.To reduce the risk of complications in urological surgery, like all other kinds of surgery, regional anesthesia techniques came to prominence with the help of technological developments. For many urological ventures, only neuraxial blockade application could be enough. This also results in decreased complication risks. In surgeries that must be done with general anesthesia, epidural anesthesia can be used for the maintenance of anesthesia or in the postoperative period. In this way, the rate of intraoperative complications can be reduced and patients' comfort can be increased by providing postoperative pain control and also duration of hospital stay can be reduced [1].© 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.During the urological surgery, diferent complications can develop depending on surgical techniques used. For example, most of urological ventures require lots of irrigation luids. In this venture, use of unheated irrigation luid can lead to complications such as hypothermia, delayed recovery from anesthesia and tremor [2].In addition to neuraxial blockade, the use of peripheral blockade has gained importance in urological surgery. For example, obturator blockade application for lateral wall localized bladder cancer could reduce intraoperative complications and increased cancer-free survival [3,4]. Anesthesia for kidney and upper urinary tract surgery Oncological surgery of kidney and upper urinary tract Radical and partial nephrectomyRenal cell carcinoma (RCC) is the ninth common cancer in the USA. According to the SEER database analysis, it is estimated that there will be 62,700 new cases and 14,240 people will die because of this disease. The incidence of kidney and renal pelvis cancer was 15.6 per 100,000 in the USA between 2009 and 2013 [5]. All around the world, radical or partial nephrectomy is accepted curative treatment for kidney tumors. Partial nephrectomy can be performed depending...

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Anesthesia and the Renal and Genitourinary Systems

Cited by 29 publications

References 154 publications

Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: Report of a rare case

Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: Report of a rare case

Raquianestesia com dose baixa da combinação de bupivacaína e fentanil: uma boa alternativa para a cirurgia de ressecção transuretral de próstata em pacientes idosos em regime ambulatorial

Anesthesia for Urological Surgery

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