TURP syndrome: about a case

We report the case of a 78-year old patient, with no particular past medical history, who underwent transurethral resection of the prostate (50 g) under spinal anesthesia for benign hypertrophy. 90 minutes after the beginning of the procedure, the patient had nausea, vomiting, visual fog and bradyca...

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Veröffentlicht in:The Pan African medical journal 2017, Vol.28, p.243-243
Hauptverfasser: Benlamkaddem, Said, Houari, Nawfal, Boukatta, Brahim, Sbai, Hicham, Kanjaa, Nabil
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container_title The Pan African medical journal
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creator Benlamkaddem, Said
Houari, Nawfal
Boukatta, Brahim
Sbai, Hicham
Kanjaa, Nabil
description We report the case of a 78-year old patient, with no particular past medical history, who underwent transurethral resection of the prostate (50 g) under spinal anesthesia for benign hypertrophy. 90 minutes after the beginning of the procedure, the patient had nausea, vomiting, visual fog and bradycardia, suggesting TURP syndrome. Ionogramme objectified a serum sodium level of 118meq/L, hence the patient was treated with 3% hypertonic saline solution, with good evolution. This study describes a common but moderate occurrence of TURP syndrome whose management was facilitated by patient's alertness during spinal anesthesia.
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subjects Aged
Anesthesia, Spinal - methods
Bradycardia - etiology
Humans
Intraoperative Complications - diagnosis
Intraoperative Complications - therapy
Male
Prostatic Hyperplasia - surgery
Saline Solution, Hypertonic - administration & dosage
Sodium - blood
Syndrome
Transurethral Resection of Prostate - methods
title TURP syndrome: about a case
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