The effect of dexmedetomidine on intraocular pressure increase in patients during robot-assisted laparoscopic radical prostatectomy in the steep Trendelenburg position.

Abstract:

PURPOSE:This study was to evaluate the effect of intraoperative continuous infusion of dexmedetomidine on intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) in the steep Trendelenburg (ST). MATERIALS AND METHODS:Sixty-eight patients were randomly divided into two groups. The dexmedetomidine group (Group D, n=34) received a continuous infusion of dexmedetomidine at a rate of 0.4 μg kg(-1) hour(-1) from the induction of anesthesia until the end of the ST position, while the control group (Group C, n=34) received an equal volume of physiologic saline at the same rate under conventional general anesthesia with sevoflurane and remifentanil. IOP was measured at 11 predefined time points for all patients. RESULTS:Significant differences in IOP were detected between the two groups by a linear mixed model analysis (p<0.001). The highest mean IOP was 19.9±5.0 mm Hg in Group D and 25.7±5.0 mm Hg in Group C; both were measured 60 minutes after the patients had been placed in the ST position. No significant between-group differences in ocular perfusion pressure, mean blood pressure, or heart rate were observed between the two groups. No ocular or other complications were noted. CONCLUSION:Intraoperative continuous infusion of dexmedetomidine may help alleviate IOP increase in patients undergoing RALRP in the ST position.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Kim NY,Yoo YC,Park H,Choi YD,Kim CY,Bai SJ

doi

10.1089/end.2014.0381

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

310-6

issue

3

eissn

0892-7790

issn

1557-900X

journal_volume

29

pub_type

杂志文章,随机对照试验
  • Extracorporeal shockwave therapy for Peyronie's disease: who benefits?

    abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.135

    authors: Taylor J,Forster JA,Browning AJ,Biyani CS

    更新日期:2006-02-01 00:00:00

  • Endoscopic Valves and Irrigation Devices for Flexible Ureteroscopy: Is There a Difference?

    abstract:BACKGROUND AND PURPOSE:A variety of ureteroscopic irrigation systems are available, ranging from gravity-driven pressure bags to hand-operated pumps. Endoscopic valves maintain a watertight seal during ureteroscopy (URS) while facilitating passage of instruments. The clinical utility and ergonomics of such devices have...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0891

    authors: Tarplin S,Byrne M,Farrell N,Monga M,Sivalingam S

    更新日期:2015-09-01 00:00:00

  • Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results.

    abstract:BACKGROUND AND PURPOSE:Retrograde ureteroscopic marsupialization is a pure natural orifice translumenal endoscopic surgery (NOTES). We retrospectively examined the feasibility and safety of this technique to manage symptomatic simple renal cysts. PATIENTS AND METHODS:Sixteen patients with simple renal cysts were selec...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0676

    authors: Li EC,Hou JQ,Yang LB,Yuan HX,Hang LH,Alagirisamy KK,Li DP,Wang XP

    更新日期:2011-01-01 00:00:00

  • Renal functional outcomes after cryoablation of small renal masses.

    abstract:BACKGROUND AND PURPOSE:Renal function outcomes after renal cryosurgery have not been widely scrutinized. We report 2-year renal function outcomes from a single-center cohort of patients who were treated with cryoablation for small renal masses. METHODS:We performed a retrospective review of our laparoscopic and percut...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0186

    authors: Malcolm JB,Logan JE,Given RW,Lance R,Vingan H,Shaves SC,Fabrizio M

    更新日期:2010-03-01 00:00:00

  • What happens to hemostatic agents in contact with urine? An in vitro study.

    abstract:BACKGROUND AND PURPOSE:As the indications for topical hemostatic agents increase in urology, the question arises: what happens to these agents when they enter the urinary collecting system? To answer this question, we performed a series of in-vitro experiments mixing three hemostatic agents with normal and sanguineous ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.312

    authors: Uribe CA,Eichel L,Khonsari S,Finley DS,Basillote J,Park HK,Li CC,Abdelshehid C,Lee DI,McDougall EM,Clayman RV

    更新日期:2005-04-01 00:00:00

  • Percutaneous Microwave Ablation of Stage T1b Renal Cell Carcinoma: Short-Term Assessment of Technical Feasibility, Short-Term Oncologic Outcomes, and Safety.

    abstract:: Purpose: To report on the safety, technical results, and oncologic outcomes of computed tomography guided percutaneous microwave ablation of stage cT1b renal cell carcinoma. Materials and Methods: This single-center retrospecti...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0382

    authors: Guo J,Arellano RS

    更新日期:2020-10-01 00:00:00

  • Noninsufflative laparoscopic access.

    abstract::Standard laparoscopic surgery requires maintenance of the working cavity by continual carbon dioxide insufflation and exaggerated Trendelenburg positioning. Both cardiopulmonary and metabolic adverse effects may result from these maneuvers, which may be avoided by a gasless approach to laparoscopic surgery. We investi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1995.9.483

    authors: Hirsch IH,Moreno JG,Lotfi MA,Gomella LG

    更新日期:1995-12-01 00:00:00

  • Urolithiasis location and size and the association with microhematuria and stone-related symptoms.

    abstract:PURPOSE:To conduct a study to assess the association between calculus location and size and the incidence of both microhematuria and symptoms of urolithiasis in a urology office environment. PATIENTS AND METHODS:After Institutional Review Board approval, a prospective study was conducted with data from 100 consecutive...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0265

    authors: Lallas CD,Liu XS,Chiura AN,Das AK,Bagley DH

    更新日期:2011-12-01 00:00:00

  • An Ex Vivo Phantom Validation Study of an MRI-Transrectal Ultrasound Fusion Device for Targeted Prostate Biopsy.

    abstract:OBJECTIVES:To evaluate the ex vivo accuracy of an MRI-TRUS fusion device for guiding targeted prostate biopsies, to identify the origin of errors, and to evaluate the likelihood that lesions can be accurately targeted. MATERIALS AND METHODS:Three prostate phantoms were used to perform 27 biopsies using transperineal M...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2015.0864

    authors: Wegelin O,Henken KR,Somford DM,Breuking FA,Bosch RJ,van Swol CF,van Melick HH

    更新日期:2016-06-01 00:00:00

  • Repeated white light transurethral resection of the bladder in nonmuscle-invasive urothelial bladder cancers: systematic review and meta-analysis.

    abstract:BACKGROUND AND PURPOSE:Transurethral resection of the bladder (TURB), the first step in treatment of patients with urothelial bladder cancers, is limited by technicalities, surgeon skill, and random chance. When high-risk superficial diseases are discovered, a repeated TURB is indicated. We reviewed current literature ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1089/end.2011.0081

    authors: Vianello A,Costantini E,Del Zingaro M,Bini V,Herr HW,Porena M

    更新日期:2011-11-01 00:00:00

  • Laser lithotripsy and cyanide.

    abstract:BACKGROUND AND PURPOSE:Holmium:YAG lithotripsy of uric acid calculi produces cyanide. The laser and stone parameters required to produce cyanide are poorly defined. In this study, we tested the hypotheses that cyanide production: (1) varies with holmium:YAG power settings; (2) varies among holmium:YAG, pulsed-dye, and ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2000.14.169

    authors: Corbin NS,Teichman JM,Nguyen T,Glickman RD,Rihbany L,Pearle MS,Bishoff JT

    更新日期:2000-03-01 00:00:00

  • Comparison of standard with tubeless percutaneous nephrolithotomy.

    abstract:PURPOSE:To assess the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy (PCNL) and compare it with standard PCNL. PATIENTS AND METHODS:A total of 135 patients (140 renal units) undergoing tubeless PCNL (group 1) from June 2000 to September 2007 were compared with a similar group of 185 (194 rena...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0338

    authors: Gupta NP,Mishra S,Suryawanshi M,Seth A,Kumar R

    更新日期:2008-07-01 00:00:00

  • Percutaneous nephrolithotomy for complete staghorn calculi in preschool children.

    abstract:BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.968

    authors: Aron M,Yadav R,Goel R,Hemal AK,Gupta NP

    更新日期:2005-10-01 00:00:00

  • Use of the NMDA antagonist magnesium sulfate during monitored anesthesia care for shockwave lithotripsy.

    abstract:PURPOSE:To assess whether intravenous magnesium sulfate infusion affects analgesic requirements during monitored anesthesia care (MAC) for shockwave lithotripsy (SWL). PATIENTS AND METHODS:Fifty patients in ASA class I or II undergoing SWL with MAC were randomized into two groups. Induction of MAC was produced by bolu...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2006.0195

    authors: Kaymak C,Yilmaz E,Basar H,Ozcakir S,Apan A,Batislam E

    更新日期:2007-02-01 00:00:00

  • Robot-assisted laparoscopic retroperitoneal lymph node dissection in an adolescent population.

    abstract::Abstract Laparoscopic retroperitoneal lymph node dissection (RPLND) has been shown to be safe and effective in appropriately selected pediatric and adolescent patients with paratesticular rhabdomyosarcoma (RMS) and testicular germ-cell tumors (T-GCT). While the use of robot-assisted laparoscopy has expanded rapidly ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0214

    authors: Cost NG,DaJusta DG,Granberg CF,Cooksey RM,Laborde CE,Wickiser JE,Gargollo PC

    更新日期:2012-06-01 00:00:00

  • Office-based transurethral resection of multiple bladder tumors using blue dye-mixed local anesthesia: a descriptive cohort study.

    abstract:OBJECTIVE:Hospitalization and general anesthesia to perform transurethral resection of bladder tumors (BTs) may not be necessary for small recurrent BTs. We developed a new outpatient procedure. PATIENTS AND METHODS:Patients with recurrent small tumors who had previously undergone transurethral resection of BTs for lo...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2009.0250

    authors: Endo F,Shiga Y,Yashi M,Hattori K,Muraishi O

    更新日期:2010-02-01 00:00:00

  • Is postoperative arteriovenous fistula still a concern after en bloc stapling of the renal hilum during laparoscopic nephrectomy?

    abstract:PURPOSE:To report our experience with en bloc stapling of the renal hilum during laparoscopic nephrectomy (LN) and nephroureterectomy and to compare it with separate stapling performed during the same period at the same institution. PATIENTS AND METHODS:We conducted a retrospective review of 125 laparoscopic nephrecto...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0528

    authors: Schatloff O,Ramon J,Lindner U,Kitrey N,Dotan Z,Nahtomi-Shick O,Nadu A

    更新日期:2009-04-01 00:00:00

  • Safety and efficacy of retrograde intrarenal surgery for renal stones in patients with a solitary kidney: a single-center experience.

    abstract:BACKGROUND AND PURPOSE:The management of urolithiasis in patients with a solitary kidney is challenging for endourologists. This study was aimed at evaluating the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of such patients with renal stones. PATIENTS AND METHODS:Between January 2010 a...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0295

    authors: Gao X,Peng Y,Shi X,Li L,Zhou T,Xu B,Sun Y

    更新日期:2014-11-01 00:00:00

  • Hand-assisted laparoscopic nephrectomy in autosomal dominant polycystic kidney disease.

    abstract:BACKGROUND:Among patients with renal insufficiency secondary to autosomal dominant polycystic kidney disease (ADPKD), the onset of refractory urinary infection, hypertension, pain, or hematuria often necessitates a nephrectomy. However, the huge size of these kidneys makes a standard laparoscopic approach difficult, an...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/089277904323056942

    authors: Lee DI,Clayman RV

    更新日期:2004-05-01 00:00:00

  • Robot-assisted partial nephrectomy: off-clamp technique.

    abstract::Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0170

    authors: Sandhu GS,Kim EH,Tanagho YS,Bhayani SB,Figenshau RS

    更新日期:2013-01-01 00:00:00

  • Urolithiasis as a hazard of sulfonamide therapy.

    abstract::We identified 40 patients (25 men and 15 women) who developed calculi composed totally or partially of sulfonamides (acetylsulfamethoxazole, sulfadiazine, and acetylsulfisoxazole) between 1980 and 1987. The incidence of sulfonamide stones is less than 1% of stones. Patient characteristics were determined from question...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.401

    authors: Albala DM,Prien EL Jr,Galal HA

    更新日期:1994-12-01 00:00:00

  • The clinical research office of the endourological society audit committee.

    abstract::The Clinical Research Office of the Endourological Society (CROES) conducts large-scale, international, multicenter clinical trials in the field of endourology. One of the major challenges that these trials pose is to ensure that data collected remotely and online within a very short time frame are valid and reliable....

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0402

    authors: Preminger GM,Alken P,Habuchi T,Wijkstra H,Skolarikos A,Yin CJ

    更新日期:2011-11-01 00:00:00

  • Long-term results of permanent indwelling wallstents for benign mid-ureteral strictures.

    abstract:BACKGROUND:Benign ureteral strictures are a potentially difficult problem that typically has been solved by open surgery. However, minimally invasive methods would be preferable. PATIENTS AND METHODS:Three patients with benign ureteral strictures were treated with endoscopic placement of self-expanding permanent indwe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/08927790050152186

    authors: Slavis SA,Wilson RW,Jones RJ,Swift C

    更新日期:2000-09-01 00:00:00

  • Impact of real-time visualization of cystoscopy findings on procedural pain in female patients.

    abstract:BACKGROUND AND PURPOSE:We have previously shown that men tolerate office flexible cystoscopy better when they simultaneously view the monitor during their procedure. We sought to demonstrate similar effects of distraction on women undergoing rigid office cystoscopy. PATIENTS AND METHODS:100 consecutive women underwent...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2008.0076

    authors: Patel AR,Jones JS,Babineau D

    更新日期:2008-12-01 00:00:00

  • Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study.

    abstract:PURPOSE:To create a protocol for providing real-time operating room (OR) cost feedback to surgeons. We hypothesize that this protocol will reduce costs in a responsible way without sacrificing quality of care. METHODS:All OR costs were obtained and recorded for robot-assisted partial nephrectomy and laparoscopic donor...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0858

    authors: Tabib CH,Bahler CD,Hardacker TJ,Ball KM,Sundaram CP

    更新日期:2015-08-01 00:00:00

  • Routine vascular control using the Hem-o-lok clip in laparoscopic nephrectomy: animal study and clinical application.

    abstract:BACKGROUND AND PURPOSE:During laparoscopic nephrectomy (LPN), a stapling device is often used for vascular control, especially of the renal vein. Herein, we report our experience using a polymer clip (Hem-o-lok) for routine control of the vessels during LPN in the animal and clinical setting. PATIENTS AND METHODS:Fift...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277904322836730

    authors: Yip SK,Tan YH,Cheng C,Sim HG,Lee YM,Chee C

    更新日期:2004-02-01 00:00:00

  • Laparoscopic radical cystectomy with orthotopic ileal neobladder: a report of 85 cases.

    abstract:PURPOSE:The preliminary results of laparoscopic radical cystectomy in 85 patients are presented in this study. The functional and oncologic outcomes of this procedure in these patients are discussed. PATIENTS AND METHODS:Between December 2002 and May 2006, we performed 85 laparoscopic radical cystectomies with orthoto...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0298

    authors: Huang J,Lin T,Xu K,Huang H,Jiang C,Han J,Yao Y,Guo Z,Xie W,Yin X,Zhang C

    更新日期:2008-05-01 00:00:00

  • Semen changes after extracorporeal shockwave lithotripsy for distal-ureteral stones.

    abstract:PURPOSE:To determine the effects on semen of extracorporeal shockwave lithotripsy for distal-ureteral stones. PATIENTS AND METHODS:We examined the semen of 62 patients 1 day before and 1 week and 3 months after SWL for distal-ureteral stones. The results were compared with those of 62 patients similarly treated for up...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.483

    authors: Sayed MA

    更新日期:2006-07-01 00:00:00

  • Photoselective laser vaporization prostatectomy for acute urinary retention in China.

    abstract:PURPOSE:To assess the clinical efficacy and safety of photoselective laser vaporization of the prostate (PVP) in the treatment of patients with acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Forty-two patients (mean age 72 +/- 5 years, range 65-89) with AUR because ...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2007.0045

    authors: Fu WJ,Gao JP,Hong BF,Yang Y,Cai W,Zhang L

    更新日期:2008-03-01 00:00:00

  • "STONE TREES": Metabolic Evaluation and Medical Treatment of the Urolithiasis Patient Made Easy.

    abstract::In this review, a simplified straightforward algorithmic approach to the metabolic evaluation and treatment of the at-risk or recurrent urolithiasis patient is provided. Eight diagnoses and eight therapies are provided, which cover over 95% of renal stone disease. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2017.0541

    authors: Clayman RV,Patel RM,Pearle M

    更新日期:2018-05-01 00:00:00