The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery

Cilt: 32 Sayı: 1 11 Eylül 2006
  • Teoman Benli
  • Evrim Duman
  • Gulnur Goksan
  • Dilek Yazicioglu
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The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery

Öz

Induced hypotensive anesthesia is the most widely used method to avoid blood loss that may even be life-threatening during spinal surgery. Surgery causes considerable trauma to bone and muscle that, along with hypotensive anesthesia, might be anticipated to impair renal function. In this study, the effect of induced hypotension on renal function in 140 patients who had spinal surgery was examined. Blood and urine tests for electrolytes, creatinine, BUN, and creatine kinase were performed both preoperatively and postoperatively, and the results were compared. An average of 280 cc of blood was replaced to compensate for an average blood loss of 300 cc. All biochemical tests gave results within normal limits. However, there was a mild hypokalemia and a mild hyponatremia in the early postoperative period which corrected in a short time. A mild decrease in ceratinine clearance (114 ml/min/1.73m2) increased to an average of 130 ml/min/1.73m2 soon after the operation. These findings show that induced hypotensive anesthesia does not impair renal function while providing the surgeon with a bloodless operative field during spinal surgery.

Anahtar Kelimeler

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Teoman Benli Bu kişi benim

Evrim Duman Bu kişi benim

Gulnur Goksan Bu kişi benim

Dilek Yazicioglu Bu kişi benim

Yayımlanma Tarihi

11 Eylül 2006

Gönderilme Tarihi

6 Mart 2014

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 1998 Cilt: 32 Sayı: 1

Kaynak Göster

APA
Benli, T., Duman, E., Goksan, G., & Yazicioglu, D. (2006). The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery. Acta Orthopaedica et Traumatologica Turcica, 32(1), 5-7. https://doi.org/10.3944/aott.v32i1.2218
AMA
1.Benli T, Duman E, Goksan G, Yazicioglu D. The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;32(1):5-7. doi:10.3944/aott.v32i1.2218
Chicago
Benli, Teoman, Evrim Duman, Gulnur Goksan, ve Dilek Yazicioglu. 2006. “The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery”. Acta Orthopaedica et Traumatologica Turcica 32 (1): 5-7. https://doi.org/10.3944/aott.v32i1.2218.
EndNote
Benli T, Duman E, Goksan G, Yazicioglu D (01 Eylül 2006) The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery. Acta Orthopaedica et Traumatologica Turcica 32 1 5–7.
IEEE
[1]T. Benli, E. Duman, G. Goksan, ve D. Yazicioglu, “The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery”, Acta Orthopaedica et Traumatologica Turcica, c. 32, sy 1, ss. 5–7, Eyl. 2006, doi: 10.3944/aott.v32i1.2218.
ISNAD
Benli, Teoman - Duman, Evrim - Goksan, Gulnur - Yazicioglu, Dilek. “The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery”. Acta Orthopaedica et Traumatologica Turcica 32/1 (01 Eylül 2006): 5-7. https://doi.org/10.3944/aott.v32i1.2218.
JAMA
1.Benli T, Duman E, Goksan G, Yazicioglu D. The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;32:5–7.
MLA
Benli, Teoman, vd. “The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery”. Acta Orthopaedica et Traumatologica Turcica, c. 32, sy 1, Eylül 2006, ss. 5-7, doi:10.3944/aott.v32i1.2218.
Vancouver
1.Teoman Benli, Evrim Duman, Gulnur Goksan, Dilek Yazicioglu. The effect of induced hypotension and tissue trauma on renal function in patients undergoing spinal surgery. Acta Orthopaedica et Traumatologica Turcica. 01 Eylül 2006;32(1):5-7. doi:10.3944/aott.v32i1.2218