Document Detail


Pulmonary edema in the transurethral resection syndrome induced with mannitol 5%.
MedLine Citation:
PMID:  19397498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients developed the transurethral resection (TUR) syndrome after having absorbed mannitol 5% during TUR of the prostate. Both developed pulmonary edema and became severely hypoatremic (lowest serum sodium 99 and 97 mmol/l, respectively). Hypertonic saline was infused to raise the serum sodium level and plasma volume expansion used to combat hypotension. One patient also required positive-pressure ventilation and intravenous administration of norepinephrine. Both patients recovered completely.
Authors:
J H Wang; Q He; Y L Liu; R G Hahn
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-24
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  53     ISSN:  1399-6576     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-10-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  1094-6     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Beijing Hospital, Beijing, China.
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MeSH Terms
Descriptor/Qualifier:
Diuretics / administration & dosage,  adverse effects*
Humans
Hyponatremia / chemically induced
Hypotonic Solutions / therapeutic use
Male
Mannitol / administration & dosage,  adverse effects*
Middle Aged
Norepinephrine / therapeutic use
Pharmaceutical Solutions
Positive-Pressure Respiration
Postoperative Complications / diagnosis*
Prostatic Hyperplasia / surgery
Pulmonary Edema / chemically induced*
Sodium / blood
Syndrome
Transurethral Resection of Prostate*
Vasoconstrictor Agents / therapeutic use
Chemical
Reg. No./Substance:
0/Diuretics; 0/Hypotonic Solutions; 0/Pharmaceutical Solutions; 0/Vasoconstrictor Agents; 51-41-2/Norepinephrine; 69-65-8/Mannitol; 7440-23-5/Sodium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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