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Effect of Irrigation Solution Temperature on Complication of Percutaneous Nephrolithotomy: A Randomized Clinical Trial

Seyed Reza Hosseini, Mohammad Ghasem Mohseni, Seyed Mohammad Kazem Aghamir, Hamed Rezaei
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Abstract

Purpose: Many factors affecting on  hypothermia and  shivering during percutaneous nephrolithotomy and in recovery.Hence this study was carried out to determine the effect of irrigation solution temperature on complication of percutaneous nephrolithotomy.

Materials and Methods: In this randomized clinical trial, 60 patients under PCNL in Sina University Hospital were enrolled. The patients were randomly assigned in three groups according to simple random manner. The groups included three groups of room temperature fluid (24 degree), warm solution (37 degree), and cold fluid (20 degree) during nephroscopy.

Results:. Although the initial core temperature was alike across the groups (P > 0.05);  The hypothermia rate was occured in all 20 patients in cold fluid group (P=0.012). there was significant difference between groups for final temperature and alteration amount (P=0.001). The mean VAS scores were significantly lower in warm fluid group compared with the others groups at the recovery, and 8 h postoperatively (P = 0.03). Assessment of shivering rates revealed that 3(15%) patients in warm solution group shivered compared with 8 (40%) patients in cold fluid group (P=0.018).

Conclusion: Warm irrigation solution use during PCNL would result in decrease significantly hypothermia, the mean postoperative pain score and shivering. Hence use of warm irrigation fluid for this matter is recommended.


References

Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. European urology. 2007; 51(4):899-906.

Torossian A, Brauer A, Hocker J, Bein B, Wulf H, Horn EP. Preventing inadvertent perioperative hypothermia. Deutsches Arzteblatt international. 2015; 112(10):166-72.

Tekgul ZT, Pektas S, Yildirim U, Karaman Y, Cakmak M, Ozkarakas H, et al. A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy. Journal of anesthesia. 2015; 29:165-9.

Tefekli A, Ali Karadag M, Tepeler K, Sari E, Berberoglu Y, Baykal M, et al. Classification of percutaneous nephrolithotomy complications using the modified claviengrading system: looking for a standard. European urology. 2008; 53(1):184-90.

Guo JR, Li SZ, Fang HG. Different duration of cold stress enhances pro-inflammatory cytokines profile and alterations of Th1 and Th2 type cytokines secretion in serum of wistar rats. J Anim Vet Adv. 2012; 11:1538–1545

Venjakob AJ, Vogt S, Stockl K, Tischer T, Jost PJ, Thein E. Local cooling reduces regional bone blood flow. Journal of orthopaedic research: official publication of the Orthopaedic Research Society.2013; 31(11):1820-7.

Zorn KC, Bhojani N, Gautam G, Shikanov S, Gofrit ON, Jayram G. Application of ice cold irrigation during vascular pedicle control of robot-assisted radical prostatectomy: EnSeal instrument cooling to reduce collateral thermal tissue damage. J of Endourol. 2010 24(12):1991-6.

Romlin B, Petruson K, Nilsson K.Moderate superficial hypothermia prolongs bleeding time in humans. Acta anaesthesiologica Scandinavica. 2007;51(2):198-201.

Parodi D, Valderrama J, Tobar C, Besomi J, Lopez J, Lara J. Effect of warmed irrigation solution on core body temperature during hip arthroscopy for femoroacetabular impingement. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2014; 30(1): 36-41.

Jin Y, Tian J, Sun M, Yang KA. systematic review of randomised controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries. Journal of clinical nursing. 2011; 20(3-4):305-16.

Kim YS, Lee JY, Yang SC, Song JH, Koh HS, Park WK. Comparative study of the influence of room-temperature and warmed fluid irrigation on body temperature in arthroscopic shoulder surgery. Arthroscopy: the journal of arthroscopic & related surgery : officialpublication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2009; 25(1):24-9.

Ozmen S, Ozmen OA. Hot saline irrigation for control of intraoperative bleeding in adenoidectomy: a randomized controlled trial. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2010; 142 (6):893-7.

de Freitas Fonseca M, Andrade CM, Jr., de Mello MJ, Crispi CP. Effect of temperature on fluidity of irrigationfluids. British journal of anaesthesia.2011; 106(1):51-6.

Mirza S, Panesar S, AuYong KJ, French J, Jones D, Akmal S.The effects of irrigation fluid on core temperature in endoscopic urological surgery. Journal of perioperative practice. 2007; 17(10):49-51.

Okeke LI. Effect of warm intravenous and irrigating fluids on body temperature during transurethral resection of the prostate gland. BMC urology. 2007; 7:15.

Pit MJ, Tegelaar RJ, Venema PL. Isothermic irrigation during transurethral resection of the prostate: effects on peri-operative hypothermia, blood loss, resection time and patient satisfaction. British journal of urology. 1996; 78(1):99-103.

Hosseini SR, Imani F, Shayanpour G, Khajavi MR. The effect of nephrostomy tract infiltration of ketamine on postoperative pain and peak expiratory flow rate in patients undergoing tubeless percutaneous nephrolithotomy: a prospective randomized clinical trial.




DOI: http://dx.doi.org/10.22037/uj.v0i0.4399

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