Transurethral resection syndrome detected and managed using transesophageal Doppler

Anesthesia and Analgesia
Patrick SchoberLothar A Schwarte

Abstract

Transurethral resection syndrome during transurethral resection of the prostate (TURP) results from excessive absorption of electrolyte-free irrigation fluids causing acute hypervolemia and hyponatremia. Neuraxial anesthesia is often recommended for TURP procedures because early signs of neurological deterioration can be detected. However, in patients requiring general anesthesia, other continuous and noninvasive measures are needed. Acute intravascular hypervolemia should be reflected by changes in hemodynamic values. Transesophageal Doppler ultrasonography of the aorta allows determination of stroke volume and other advanced hemodynamic variables related to intravascular volume status. We describe the first case of intraoperative detection of a TURP syndrome by noninvasive Doppler monitoring of hemodynamic variables during TURP.

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Citations

Oct 21, 2009·Journal of Clinical Monitoring and Computing·Patrick SchoberLothar A Schwarte
Jul 18, 2009·Anesthesia and Analgesia·Patrick SchoberLothar A Schwarte
Aug 21, 2008·Anesthesia and Analgesia·Marcos F Vidal Melo, Bruce J Leone

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