Abstract

Massive hydrothorax during supracostal approach for percutaneous nephrolithotomy: A case report - IJCA- Print ISSN No: - 2394-4781 Online ISSN No:- 2394-4994 Article DOI No:- 10.18231/j.ijca.2019.056, Indian Journal of Clinical Anaesthesia-Indian J Clin Anaesth

Highlights

  • In recent years, Percutaneous nephrolithotomy (PCNL) is being increasingly used for urinary calculi

  • This technique is associated with some technical complications, especially risk of intrathoracic complications is much higher in supracostal approach.[1]

  • There are different views regarding anesthetic technique to be used for PCNL

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Summary

Introduction

It has many advantages compared to open approach as it avoids larger incision decreasing postoperative morbidiy of the patients, and associated with some technical complications. Case Report A 55 year old female having nephrolithiasis in upper calyx of right kidney, was posted for PCNL surgery. At the end of surgery patient started complaining of difficulty in breathing, spo[2] gradually dropped down to 70%. Air entry on right side (operative side) was almost nil.

Results
Conclusion
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