Acid-base balance changes in transurethral surgery performed with % 5 mannitol % 5 MANNITOL KULLANILAN TRANSURETRAL PROSTAT CERRAHISINDE ASIT-BAZ DENGESI
Turk Anesteziyoloji ve Reanimasyon, cilt.24, sa.9, ss.399-403, 1996 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 24 Sayı: 9
- Basım Tarihi: 1996
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.399-403
- Anahtar Kelimeler: Acid-base balance, Irrigating fluids, Mannitol, Transurethral surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The transurethral resection syndrome characterized by mental confusion, nausea, vomiting, hypertension, bradycardia and visual disturbances can be seen due to the absorption of irrigating fluid during transurethral prostatectomy. The purpose of this study is to evaluate acid-base balance during and after tire transurethral prostatectomy. 20 patients who underwent transurethral resection of prostate were taken in to the study. Blood gas levels were assessed preoperatively, at 15 minutes intervals during the procedure and at the first and second hours postoperatively. % 5 mannitol was used as irrigating fluid. Hb, Hct, Na+ and K+ parameters of the patients were also measured preoperatively and postoperatively. 11 patients were considered as normal TUR group in whom serum sodium levels decreased lower than 5 mmol/L. Serum sodium levels decreased up to 5 mmol/L in 9 patients considered as absorption group. The TUR syndrome was not observed in any patient. No significant difference was observed in pH, pO2, pCO2 values for both groups. A significant drop was seen in the Na+ and K+ levels at the absorption group both preoperatively and postoperatively (p<0.05). As a result, 5 % mannitol does not change acid-base balance unless the TUR syndrome is developed.