Cardiovascular Collapse During Transurethral Resection of Bladder Tumor: A Case Report.

Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses
Nicole A Gonzaga GomezMichael Fabbro

Abstract

Despite innovative modalities, transurethral resection (TUR) procedures are the primary surgical intervention for bladder tumor and enlarged prostate. TUR syndrome, a major complication of TUR procedures, leads to derangement in electrolytes, hemodynamic compromise, and possible cardiac arrest. This case report describes cardiovascular collapse in a 60-year-old male during TUR of a bladder tumor under general anesthesia. The patient developed hypoxia, which progressed to cardiovascular collapse. Electrolyte analysis revealed acute hyponatremia. The patient was resuscitated successfully, transferred to intensive care unit, and discharged from the hospital without any complications. This case report of a cardiovascular collapse during transurethral resection of bladder tumor offers insight of the risks in urologic procedures and highlights the importance of clear communication as well as early recognition and successful management of complications.

References

Jun 16, 2012·Indian Journal of Anaesthesia·Navdeep SethiKrishna Kumar
Nov 21, 2012·BMJ Case Reports·Ismail DemirelOmer L Erhan
May 2, 2014·BMC Anesthesiology·Junko NakahiraToshiaki Minami
Jul 9, 2016·Current Urology·Sam McGowan-SmythShan Gowrie-Mohan
Dec 10, 2016·Annual Review of Nursing Research·Lisa Osborne-Smith, R Kyle Hodgen

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