Page 91 - TheTalents 2018 Debate2

Patient Safety:
Anesthetic Consideration Improved in Supine PCNL
Intraocular pressure/ Post Anesthetic Blindness:
NO REPORTED CASES in the literature for • Improved parameters for high risk patients:
• Reduced intraocular pressure
• Increase HR, decrease BP, dec cardiacpionsdietixo,ndinegcr,erastheevretnhoaunslraeteturarnl ndeucekto
thoracic pressure, increase peak pressures rotation
PCNL
*Use a prone helmet and neutral head
• “...patients with marginal heart and lung function do not tolerate the prone
Improved Functional Capacity,
Severely compromised FEV1 have a 5x higher risk of CV death then the general
preload
*This patient population is more likely to have a staged URS or ‘observation’
-Pressure controlled ventilation > Volume controlled ventilation improves pressures, O2,reduces stress response
position well.”
Compression of IV and reduction of
• Patients with a severely impaired FEV1 have a 5x increased risk of
population.
cardiovascular death at baseline. Therefore this population would be high
risk for any surgery/complication.
Decreases the number of times re- positioned after anesthetized
Split leg position allows retrograde contrast, or ECIRS