Abstract

Retrograde intrarenal surgery has become the primary approach for the treatment of renal stones among many centers. The excessive use of irrigation fluids during procedures may cause an increase in intrarenal pressure; hence leading to their perirenal extravasation. This case report aims to emphasize the significant steps of anesthesia management of a 4.5 year old male pediatric patient who, despite achieving adequate depth of anesthesia while undergoing intrarenal surgery due to cystine stones, was reported to have tachycardia, hypertension, increased lung pressure and a significant decrease in his right kidney regional oxygen saturation index measured by near infrared spectroscopy.

Cite as: Demir M, Ozmert S. The Early Detection of Perirenal Extravasation of Irrigation Fluids Used in Intrarenal Surgery via Near Infrared Spectroscopy Monitorization: Case report. Coc Cer Derg/Turkish J Ped Surg 2023;37(2): 69-74. doi: 10.29228/JTAPS.67556