Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate.

Abstract:

:Holmium laser enucleation of prostate (HoLEP) is being performed with increasing frequency as a minimally invasive alternative to transurethral resection of the prostate (TURP) for the surgical management of benign prostatic hyperplasia (BPH). HoLEP offers the advantage of use of normal saline for irrigation, instead of glycine which is utilized in TURP, decreasing the likelihood of fluid absorption and effects on serum electrolytes. We describe a patient who underwent HoLEP for BPH and subsequently developed non-ion gap metabolic acidosis and hemodilution associated with volume overload.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Dodd SE,Jankowski CJ,Krambeck AE,Gali B

doi

10.1007/s00540-016-2256-4

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1060-1062

issue

6

eissn

0913-8668

issn

1438-8359

pii

10.1007/s00540-016-2256-4

journal_volume

30

pub_type

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