Author/Authors :
Tuzcu, Kasım Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Canpolat, Halis Menemen Devlet Hastanesi - Anesteziyoloji ve Reanimasyon Kliniği, Turkey , Sılay, Emin Kayseri Eğitim Araştırma Hastanesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Gökahmetoğlu, Günhan Kayseri Eğitim Araştırma Hastanesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , İnci, Mehmet Mustafa Kemal Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey
Title Of Article :
A severe case of TUR-P Syndrome
Abstract :
At the present time despite the development of new treatment modalities like laser usage; traditional transurethral prostate resection is the gold standard in benign prostatic hypertrophy. However, TUR-P syndrome may develop in 1.1% of these cases. In our patient who was 66years old and 82 kg weight, although the hemodynamics was normal intraoperatively under spinal anesthesia, respiratory difficulty, hypotension and convulsion were developed after headache and nausea. In auscultation there were crepitant rales and there were bilateral interstitial infiltrations on chest radiography. In laboratory tests hyponatremia and thrombocytopenia were detected, the patient was diagnosed as TUR-P and the treatment was commenced. In conclusion, regional anesthesia allows the evaluation of mental status of the patients and provides early diagnosis and treatment of TUR-P syndrome. However, we suggest that the anesthesia doctor should have experience and attention in recognizing this syndrome.
NaturalLanguageKeyword :
TUR , P syndrome , Regional anesthesia , hyponatremia
JournalTitle :
Cumhuriyet Medical Journal
