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Oybolatov U.I.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Kolotilov L.V.

St. Joseph College of Health and Allied Sciences

Parvanyan S.G.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Gadzhiev N.K.

Pavlov First St. Petersburg State Medical University

Anesthetic management with high frequency jet ventilation for uretherorenoscopic lithoextraction: a randomized controlled trial

Authors:

Oybolatov U.I., Kolotilov L.V., Parvanyan S.G., Gadzhiev N.K.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(4): 73‑79

DOI: 10.17116/anaesthesiology202104173

Views: 1329

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To cite this article:

Oybolatov UI, Kolotilov LV, Parvanyan SG, Gadzhiev NK. Anesthetic management with high frequency jet ventilation for uretherorenoscopic lithoextraction: a randomized controlled trial. Russian Journal of Anesthesiology and Reanimatology. 2021;(4):73‑79. (In Russ.)
https://doi.org/10.17116/anaesthesiology202104173

Подписка 2025 (АиР)
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OBJECTIVE

To assess an effectiveness of combined artificial lung ventilation and periodic apnea in flexible uretherorenoscopy (URS) under general anesthesia.

MATERIAL AND METHODS

A single-center randomized controlled trial included 60 patients who underwent URS with lithotripsy and lithoextraction under general anesthesia with artificial ventilation. In the first group, combined artificial lung ventilation including high-frequency jet ventilation and low tidal volume ventilation was used at the stage of lithotripsy. In the second group, periodic apnea was applied. Traditional mechanical ventilation was used in the third (control) group. All techniques were compared via between-group analysis of lithotripsy and lithoextraction rate.

RESULTS

Statistical between-group analysis revealed a high correlation (r=0.75-0.82) between lithotripsy/lithoextraction rate (T, min) and volume of calculi (V, mm3). Considering correlation analysis data, the rate of lithotripsy and lithoextraction was determined as a ratio of calculus volume to duration of this surgical stage (V/T, mm3/min). In the first group, V/T value was 17 mm3/min, in the second group — 9 mm3/min, in the control group — 7 mm3/min. Pairwise V/T comparisons revealed significant differences between groups 1 and 2 (p=0.001), 1 and 3 (p<0.001), but not between group 2 and 3 (p=0.47). Clinical advantage of combined artificial lung ventilation compared to conventional mechanical ventilation was the most significant (MD=51015 mm3/min, SES=0.61.21.9).

CONCLUSION

Combined mechanical ventilation under general anesthesia significantly reduces duration of lithotripsy/lithoextraction during uretherorenoscopy.

Keywords:

high-frequency jet ventilation
combined lung ventilation
conventional mechanical ventilation
kidney mobility during respiration
periodic apnea
uretherorenoscopy

Authors:

Oybolatov U.I.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Kolotilov L.V.

St. Joseph College of Health and Allied Sciences

Parvanyan S.G.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Gadzhiev N.K.

Pavlov First St. Petersburg State Medical University

Received:

05.09.2020

Accepted:

23.01.2021

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