Urologic Emergencies and Nonobstetric Surgery During Pregnancy
# Cesarean delivery Probability (%) of accreta 1 3 2 >10 3 40 4 or above >60 Imaging tests can aid in the diagnosis of placenta accreta. Ultrasound has both…
Open Urologic Procedures: Radical Cystectomy with Diversion, Radical Prostatectomy, and Radical Nephrectomy Anesthetic Considerations
Advantages Limitations Radical retropubic prostatectomy Superb surgical exposure Challenging in obese patients Facilitates nerve-sparing surgery Vascular field Allows simultaneous staging Increased blood loss Increased blood transfusion rate Perineal prostatectomy…
Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy
Pregnancy Severe skeletal deformities Severe obesity Aortic or renal artery aneurysm? Urinary obstruction distal to stone Uncontrolled anticoagulation Uncontrolled hypertension Uncontrolled urinary tract infection Procedure Techniques Classically, PCNL is done…
Anesthesia for Urological Endoscopic Procedures
Absorption of irrigating fluid Circulatory overload and hypoosmolality Hyponatremia Glycine and ammonia toxicity Bladder perforation Transient bacteremia and septicemia Hypothermia Bleeding and coagulopathy TURP syndrome The Surgical Procedure The TURP…
Anesthesia for Renal Transplantation: Donor and Recipient Care
Glomerulopathies Primary glomerular disease Focal glomerulosclerosis Membranous nephropathy Immunoglobulin A nephropathy Membranoproliferative glomerulonephritis Glomerulopathies associated with systemic disease Amyloidosis Postinfectious glomerulonephritis Systemic lupus erythematosus Wegener’s granulomatosis Tubulointerstitial disease Analgesic nephropathy…
Anesthesia and Renal Function: Perioperative Considerations
where U = urinary concentration of creatinine (mg/100 ml); P = plasma concentration of creatinine (mg/100 ml); and V = urine volume (ml/min) [7]. Normal CrCl are 85–125 ml/min in…
