The Use of Apnea During Ureteroscopy

Urology. 2016 Nov:97:266-268. doi: 10.1016/j.urology.2016.06.016. Epub 2016 Jun 23.

Abstract

Objective: To describe and discuss the feasibility and the use of apnea during retrograde intrarenal surgery (RIRS).

Materials and methods: A discussion of the current literature about the different anesthesia techniques and the use of apnea to improve RIRS by avoiding renal movements over diaphragmatic excursion was performed.

Results: To date, there are no mentions in the literature about the use of apnea as a mechanism to facilitate this procedure that requires extremely precise laser use. A description of the feasibility of apnea during RIRS is described as a technical consideration and discussed.

Conclusion: The use of apnea during RIRS has facilitated the procedure, avoiding renal movements, particularly in special cases where extremely precise maneuvers during laser use are required.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthesia, General / adverse effects
  • Anesthesia, General / methods*
  • Apnea*
  • Humans
  • Intraoperative Period
  • Kidney / surgery*
  • Lasers, Solid-State / therapeutic use
  • Oxygen / administration & dosage
  • Ureteroscopy*

Substances

  • Oxygen