Medizinische Universität Graz - Research portal

Go directly to the nagivation.
Go directly to the content.

Navigation/Search

Selected Publication:

Zink, M; Waltensdorfer, A; Lampel, A; Rath, M; Lipsky, H; Engler, J.
Calculation of lavage volume in transurethral prostate resection (TURP)
Anasthesiol Intensivmed Notfallmed Schmerzther. 1997; 32(4):219-225 Doi: 10.1055/s-2007-995041
Web of Science PubMed FullText FullText_MUG

Co-authors Med Uni Graz: Waltensdorfer Andreas
Altmetrics:
Dimensions Citations:
Plum Analytics:
Scite (citation analytics):
Abstract:: PURPOSE: Evaluation of the relationship between ethanol concentration in expired air and the amount of absorbed irrigation fluid in patients who undergo a transurethral resection of the prostate. METHODS: 76 patients were evaluated in a prospective study. The irrigation fluid contained 1.92 w/w% of ethanol. The ethanol concentration in breath was measured at least every 10 minutes with a Alcotest 7410 (Dräger) or a Biomed 3010 (Biotest). Documented values: breath ethanol concentration, mean arterial pressure, heart rate, haemoglobin concentration, serum sodium concentration, the amount of irrigation fluid, the time of operation, special events, therapeutic interventions. A modification of the Widmark formula was used for calculating the amount of absorbed irrigation fluid from the breath ethanol concentration. RESULTS: A rise of the ethanol level above 0.2/1000 was observed in 10 patients. No clinically significant difference in heart rate and blood pressure during surgery between the 24 patients with no alcohol in breath and the 10 patients with more than 0.2/1000 was observed. Prolonged duration of resection and greater amount of used irrigation fluid correlated with higher ethanol concentration in breath. During the study period no patient developed the clinical features of a transurethral resection syndrome. CONCLUSIONS: If 2 w/w% of ethanol is added to the irrigation fluid, breath ethanol concentration under 0.2/1000 may be considered harmless, while values above 0.2/1000 are predictors of massive absorption of irrigation fluid. In our patients, the addition of ethanol to the irrigation fluid has been a suitable and easy way to monitor the absorption of irrigation fluid, if the ethanol concentration in the breath is measured every ten minutes. If 2 w/w% of ethanol have been added to the irrigation fluid, the absorbed volume (E) can be estimated using the formula: E = 37.5 x body weight (kg) x ethanol concentration (/1000).
Find related publications in this database (using NLM MeSH Indexing): Aged -; Aged, 80 and over -; Blood Pressure - physiology; Breath Tests - physiology; Ethanol - diagnostic use; Heart Rate - physiology; Hemoglobinometry - physiology; Humans - physiology; Intraoperative Complications - diagnosis; Irrigation - statistics and numerical data; Male - statistics and numerical data; Middle Aged - statistics and numerical data; Predictive Value of Tests - statistics and numerical data; Prospective Studies - statistics and numerical data; Prostatectomy - statistics and numerical data; Reference Values - statistics and numerical data; Sodium - blood; Water-Electrolyte Imbalance - diagnosis
Find related publications in this database (Keywords): TUR-P; ethanol; irrigation fluid; transurethral prostatectomy