Changes in blood gas in supine and prone positions in percutaneous stone surgery: does position have any advantage for hemodynamics?

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dc.contributor.authorErdal, Yilmaz
dc.contributor.authorIbrahim, Senocak
dc.contributor.authorMirac, Ataman
dc.contributor.authorErcan, Yuvanc
dc.date.accessioned2025-01-21T16:36:31Z
dc.date.available2025-01-21T16:36:31Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractTo evaluate whether different positions are advantageous for hemodynamics and respiratory balance in patients undergoing percutaneous nephrolithotomy (PCNL) procedures. Pre- and postoperative arterial blood gas data obtained during spontaneous breathing for 67 prone (Group 1) and 56 supine (Group 2) patients undergoing PCNL were analyzed. Additionally data on all patients' gender, age, body mass index, stone size, access and surgical duration, volume of irrigation fluid, length of hospital stay, requirement for blood transfusion, and residual stones were recorded: There were no differences between the groups in terms of age, stone size, operation time, access time, radiation exposure, transfusion requirements, stone-free rate, and length of hospitalization. A statistically significant pH decrease was observed in both groups in the postoperative period (p = 0.001 and p = 0.001, respectively). There was a statistically significant increase in pCO(2) values in both groups in the postoperative period (p = 0.001 and p = 0.024, respectively), and that increase did not differ significantly between the groups (p = 0.624). A statistically significant decrease in pO(2) and SpO(2) values was observed in both groups in the postoperative period compared to the preoperative period. Again, no statistical difference was observed between the groups for these values. There was a statistically significant decrease in bicarbonate in both groups period (p < 0.001 and p = 0.001, respectively). Hemodynamics and the respiratory balance of the patient are impaired in both prone and supine positions. Neither position is superior to the other in this respect.
dc.identifier.doi10.1007/s00240-024-01615-x
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue1
dc.identifier.pmid39174867
dc.identifier.scopus2-s2.0-85201802565
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1007/s00240-024-01615-x
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24318
dc.identifier.volume52
dc.identifier.wosWOS:001296589900001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectPercutaneous nephrolithotomy; Position; Hemodynamics; Prone; Supine
dc.titleChanges in blood gas in supine and prone positions in percutaneous stone surgery: does position have any advantage for hemodynamics?
dc.typeArticle

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