Effect of Irrigation Solution Temperature on Complication of Percutaneous Nephrolithotomy: A Randomized Clinical Trial
Urology Journal,
Vol. 16 No. 06 (2019),
24 December 2019
,
Page 525-529
https://doi.org/10.22037/uj.v16i06.4399
Abstract
Purpose: Many factors affecthypothermia and shivering during percutaneous nephrolithotomy and in recovery.
Hence this study was carried out to determine the effect of irrigation solution temperature on complications of
percutaneous nephrolithotomy.
Materials and Methods: In this randomized clinical trial, 60 patients undergoing 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 > .05); the hypothermia rate occured
in all 20 patients in the cold fluid group (P = .012). There was significant difference between the groups in
terms of final temperature and alteration amount (P = .001). The mean VAS scores were significantly lower in the
warm fluid group compared with the others groups at recovery, and 8hrs post-operatively (P = .03). Assessment
of shivering rates revealed that 3(15%) patients in warm solution group shivered compared to8 (40%) patients in
cold fluid group (P = .018).
Conclusion: Warm irrigation solution during PCNL results in significantly decreased hypothermia, mean postoperative
pain score and shivering. Hence use of warm irrigation fluid for this matter is recommended.
How to Cite
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.
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