Postoperative Pulmonary Complications after Percutaneous Nephrolithotomy Under Spinal Anesthesia

Acikgoz A., Kara B., ÖNEM K., Cetinkaya M.

UROLOGY JOURNAL, cilt.20, sa.1, ss.1-6, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.22037/uj.v19i.7089
  • Dergi Adı: UROLOGY JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
  • Sayfa Sayıları: ss.1-6
  • Anahtar Kelimeler: pulmonary complication, percutaneous nephrolithotomy, spinal anesthesia, EPIDURAL-ANESTHESIA, RISK, OUTCOMES, ACCESS
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Purpose: To evaluate risk factors and outcomes of Pulmonary Complications (PCs) in Percutaneous Nephrolitho-tomy (PCNL) under Spinal anesthesia (SA).Material and method: 286 patients who underwent PCNL under SA between 2017 and 2021 were identified retrospectively and divided into group 1 (clinically significant PCs) and group 2 (no clinically significant PCs). Demographic, preoperative, and intraoperative variables and postoperative outcomes were compared between both groups. Independent risk factors for PCs were evaluated by univariable and multivariable logistic regression anal-yses.Results: PCs were noted in 90 patients (31.5%). Advanced age (P = .011), high body mass index (BMI) (P < .001), and the presence of chronic obstructive pulmonary disease (COPD) (P < .001) were risk factors for PCs.Conclusion: SA is an effective method of anesthesia for all PCNL patients and carries a lower rate of PCNL-asso-ciated PCs. Risk factors for PCs after PCNL were advanced age, obesity, and preoperative COPD.