1/2. water and electrolyte changes during transuretheral resection of the prostate under spinal anaesthesia.Systemic absorption of irrigating fluid during TUR prostatectomy under spinal anaesthesia was measured in 40 patients and correlations made under clinical, hemodynamic and laboratory observations. Results showed that the CVP monitoring is a helpful parameter in early detection of the hypervolemic hyponatremic syndrome. Serial determination of serum sodium level is important in detecting hyponatremia. Out of the 40 patients, one patient developed acute hypervolemic hyponatremic syndrome. The syndrome was detected early by the significant rise in CVP and the drop in serum sodium level and P.C.V. Intravenous infusion of 250 ml hypertonic saline slowly was followed by marked diuresis and uneventful recovery.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. An unusual complication to transurethral resection of the prostate. A case report.During a transurethral resection of the prostate, performed in epidural anaesthesia, a 77-year-old man developed dyspnoea and distension of the lower abdomen. Acute cystostomy revealed a large bladder diverticulum containing 2 liters of irrigating fluid together with some tissue chips and 3 small bladder tumours. The tissue chips functioned as a stop valve only permitting entrance of fluid. In the absence of preoperative radiological examination of the urinary bladder meticulous cystoscopic examination of every tiny opening in the bladder is mandatory.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |