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[Infusion therapy during transurethral prostatectomy]

W Tolksdorf, D Goetz, H J Peters

    Infusionstherapie Und Klinische Ernahrung
    |June 1, 1980
    PubMed
    Summary
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    Transurethral resection (TUR) of the prostate can cause dangerous fluid shifts. A restricted infusion program with high sodium concentrations and preoperative albumin may prevent complications like low serum sodium and oncotic pressure.

    Area of Science:

    • Urology
    • Nephrology
    • Anesthesiology

    Context:

    • Transurethral resection (TUR) of the prostate is a common surgical procedure.
    • Intraoperative fluid shifts and electrolyte imbalances can occur during TURP.
    • Monitoring serum electrolytes and osmolarity is crucial during prostate surgery.

    Purpose:

    • To investigate the effects of irrigation fluid absorption during transurethral resection of the prostate.
    • To analyze changes in serum electrolytes, osmolarity, protein, and central venous pressure.
    • To determine recommendations for infusion therapy to prevent TUR syndrome.

    Summary:

    • Serum sodium, potassium, calcium, magnesium, osmolarity, and protein were measured in 24 patients undergoing TURP.
    • Leakage of irrigation fluid caused significant decreases in serum sodium and osmolarity, and a rise in central venous pressure.

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  • A correlation was observed between decreased serum sodium/osmolarity and increased central venous pressure.

    • Impact:

    • Recommends a restricted infusion program with high sodium concentrations to mitigate fluid shifts.
    • Suggests preoperative albumin solutions to prevent a dangerous fall in oncotic pressure.
    • Highlights the importance of adequate infusion therapy in managing the pathophysiology of TUR syndrome.