| Monitoring irrigating fluid absorption during transurethral resection of the prostate (TURP); a comparison between 1 and 2% ethanol as a tracer. | |
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MedLine Citation:
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PMID: 2756356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a series of 35 transurethral resections of the prostate 1% ethanol was compared to 2% ethanol as a marker of the irrigating fluid. The ethanol concentration in the expired breath of the patient (EB-ethanol) correlated significantly to the irrigant absorption, as measured volumetrically, and to the change in the serum sodium concentration at 10-min intervals during the operation. The pattern of changes in EB-ethanol indicated whether the main part of the absorption entered through the intravenous or the extravascular route. With 1% ethanol added to the irrigating solution the absorption of 100-150 ml in 10 min could readily be detected. The sensitivity was twice as great with 2% ethanol; however, 1% ethanol is sufficient for routine procedures as it permits absorption to be detected long before it is large enough to produce a TUR syndrome. Monitoring ethanol in the expired breath provides the surgeon with an instrument to check that preventive steps against further absorption are effective. |
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Authors:
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J O Hultén; R G Hahn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian journal of urology and nephrology Volume: 23 ISSN: 0036-5599 ISO Abbreviation: Scand. J. Urol. Nephrol. Publication Date: 1989 |
Date Detail:
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Created Date: 1989-09-01 Completed Date: 1989-09-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0114501 Medline TA: Scand J Urol Nephrol Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 103-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, Piteå County Hospital, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Breath Tests Ethanol / diagnostic use* Humans Intraoperative Care / methods Irrigation* Male Monitoring, Physiologic / methods* Prostatectomy* Sodium / blood Water-Electrolyte Balance Water-Electrolyte Imbalance / diagnosis, etiology |
| Chemical | |
Reg. No./Substance:
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64-17-5/Ethanol; 7440-23-5/Sodium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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