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Supine Percutaneous Nephrolithotomy and ECIRS pp 79–88Cite as

Anaesthesia for Supine and Modified Supine PNL

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Abstract

Anaesthetists need to be aware of the difficulties and complications specific to PNL, a well-established endourological means of kidney stone removal. Although traditionally PNL has been performed in the semi-prone or prone position, more recently some centres have been successfully performing the procedure in a supine or modified supine position. This presents some significant advantages from the viewpoint of the anaesthetist, as well as a small number of disadvantages. However, many of the anaesthetist’s concerns regarding PNL are similar whatever the position used. Patient’s features and co-morbidities should be preliminarily evaluated in order to choose the best anaesthetic technique. Intraoperative management is also described, facing not only specific PNL complications such as blood loss or septic risk but also often overlooked issues including fluid balance and thermal control.

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Author information

Authors and Affiliations

  1. Consultant Urological Surgeon, Department of Urology, Stepping Hill Hospital NHS Foundation Trust, Stockport, SK2 7JE, UK

    Adebanji A. B. Adeyoju MB, BS, FRCS (Urol) & Neil Sutcliffe BSc, MBChB, FRCA, FFICM

Authors
  1. Adebanji A. B. Adeyoju MB, BS, FRCS (Urol)
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  2. Neil Sutcliffe BSc, MBChB, FRCA, FFICM
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Corresponding author

Correspondence to Adebanji A. B. Adeyoju MB, BS, FRCS (Urol) .

Editor information

Editors and Affiliations

  1. Dept. Of Urology, Cottolengo Hospital, Torino, Italy

    Cesare Marco Scoffone

  2. Service d’Urologie, CHU Henri Mondor, Créteil cedex, France

    András Hoznek

  3. Cottolengo Hospital, Torino, Italy

    Cecilia Maria Cracco

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Adeyoju, A.A.B., Sutcliffe, N. (2014). Anaesthesia for Supine and Modified Supine PNL. In: Scoffone, C., Hoznek, A., Cracco, C. (eds) Supine Percutaneous Nephrolithotomy and ECIRS. Springer, Paris. https://doi.org/10.1007/978-2-8178-0459-0_8

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  • DOI: https://doi.org/10.1007/978-2-8178-0459-0_8

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  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0359-3

  • Online ISBN: 978-2-8178-0459-0

  • eBook Packages: MedicineMedicine (R0)

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