laparscopy and renal effects

[Qwiigley, BSN, MSN, DNP, RN, CRNA]

Hi All!

I'm looking for info from SRNA students and practicing CRNAs, please.

During lap chole, etc what kind of effects occur to the renal system? Has to do with the increased intraabdominal pressure, etc. (I understand the pulmonary and cardio effects).

We had a lecture on this on Tuesday, but I didn't quite get it all down and when I went to my texts to fill in the blanks.... well, no info.

I caught something about the extra pressure and renal hormones released, etc, but that's it.

Anyone know the correct answer? Thanks in advance!

:)

[Tenesma]

increased intra-abdominal pressure on kidneys:

forget the mumbojumbo... basically what happens is that you are affecting renal perfusion pressure thus dropping urine output... does it really matter? i don't think so for a short case (which most lap. cases are).... and remember whenever you are starting to get concerned with anything you can always have the belly deflated

[Qwiigley, BSN, MSN, DNP, RN, CRNA]

Thanks Tenesma!

New instructor, new lecture style. We're not really sure what is important and what is not. I;ll pass it along to my peers.

Thanks! :)