Percutaneous Nephrolithotomy / Nephrolithotripsy / Nephrostomy
Anesthesia Implications
Updated On: December 2, 2024
Position : Prone, Left Lateral, Right Lateral
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Maintenance Paralytic : No
Considerations : Fluoroscopy / Xray
Anesthetic Approaches
1GETT
The Surgery:
This surgery is to remove kidney stones that are 25 mm or smaller. Initially, there is a stab wound made to introduce the tube. Thereafter, the tube is guided by fluoroscopy. Paraplegics and quadriplegics run the risk of autonomic hyperreflexia. Watch for flushing, headache, nasal stuffiness.
Reference
Nagelhout. Nurse anesthesia. 5th edition. 2014.p. 754-755
Jaffe. Anesthesiologist’s manual of surgical procedures. 15th edition. 2014.