TY  - JOUR
TI  - Monitoring renal oxygenation status by near-infrared spectroscopy during ureterorenoscopy in children
AB  - Background/aim: Near-infrared spectroscopy (NIRS) monitoring demonstrates renal blood flow, perfusion, and oxygenation changes. This study aimed to evaluate the effects of pediatric endourological interventions (PEI) on regional oxygen saturation value $(rSO_2)$ using renal NIRS monitoring. Materials and methods: Patients having bilateral inguinal surgery (group I), cystoscopy (group II), and ureterorenoscopy (group III), 20 patients in each group, were included in the study. NIRS values before induction (T0) and at 5 min (T5), 10 min (T10), 15 min (T15), 20 min (T20), 25 min (T25), 30 min (T30) of the surgical procedure, and at the postextubation (Tend) were determined. The amount of irrigation fluid was recorded in groups II and III. The ureterorenoscopy group was also evaluated as two subgroups, as group III-R with patients having a $“20%↓rSO_2”$ and as group III-NoR, not having a $“20%↓rSO_2”$. Results: The mean total volume of irrigation was higher in group III, but the difference was not significant between the subgroups III-R and III-NoR. Renal $rSO_2$ decreased significantly in T25, T30, and T-end values in group III. $“20%↓rSO_2”$ was seen in 1 patient in group II and 7 patients in group III. In the subgroups III-R, all patients had an obstructive pathology and significant preoperative hydronephrosis with a mean renal pelvis AP diameter of 21.1 ± 16.4 mm. Conclusion: Although $rSO_2$ significantly improves postoperatively, our data may suggest that congenital and acquired obstructive pathologies with hydronephrosis, prolonged operative time with continuous irrigation, and instrument movement in a narrow lumen may increase intrarenal pressure and the risk of renal hypoxia in endourological interventions. Preoperative evaluation of kidney functions and a meticulously well-planned intervention can prevent possible complications.
AU  - Onay, Meryem
AU  - ALICI, Umut
AU  - Tokar, Baran
AU  - Arslan Alıcı, Çiğdem
AU  - Şanal Baş, Sema
DO  - 10.55730/1300-0144.5544
PY  - 2022
JO  - Turkish Journal of Medical Sciences
VL  - 52
IS  - 6
SN  - 1300-0144
SP  - 1958
EP  - 1969
DB  - TRDizin
UR  - http://search/yayin/detay/1145699
ER  -