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Reliability of clinical assessment of fluid absorption in transurethral prostatic resection.

Abstract：

:We evaluated 5 frequently used clinical methods of assessing absorption of irrigation fluid during 118 transurethral prostatic resections. The use of an irrigating solution containing glycine 1.5% and ethanol 1% and subsequent analysis of the alcohol concentration in the exhaled breath (ethanol monitoring) served as control method. Most cases of fluid absorption in excess of 1,000 ml could be indicated from a combination of clinical observations made by the surgeon and the anaesthetic nurse, and by measuring the serum sodium concentration. 'False alarms' were common, however. The volumetric fluid balance did not accurately reflect absorption. We conclude that none of the routine methods alone was specific enough to suffice for detection of irrigation fluid.

journal_name

Eur Urol

journal_title

European urology

authors

Olsson J,Rentzhog L,Hjertberg H,Hahn RG

doi

10.1159/000474306

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

262-6

issue

2

eissn

0302-2838

issn

1873-7560

journal_volume

24

pub_type

杂志文章

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