Comparison of hemodynamic profiles in transurethral resection of prostate vs transurethral resection of urinary bladder tumors during spinal anesthesia: a bioimpedance study

Ezri, Tiberiu; Issa, Nidal; Zabeeda, Deeb; Medalion, Benjamin; Tsivian, Alexander; Zimlichman, Reuven; Szmuk, Peter; Evron, Shmuel

doi:10.1016/j.jclinane.2005.12.008

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…The estimated absorption of irrigating fluid was indirectly calculated using the following formula: extracellular fluid (ECF) excess = % decrease in sodium × ECF (0.2 × body weight). 16…”

Section: Methodsmentioning

confidence: 99%

“…We defined a decrease in cardiac index that was greater than 15% after 30 minutes of surgery compared with the baseline value to be significant for the primary end point analysis. 16 Given a type-1 error of 0.05 and a power of 0.8, it was determined that 16 patients were required for statistical significance. Considering a 10% drop-out rate, 20 patients were included in this study.…”

Section: Methodsmentioning

confidence: 99%

“…The estimated absorption of irrigating fluid was indirectly calculated using the following formula: extracellular fluid (ECF) excess ¼ % decrease in sodium Â ECF (0.2 Â body weight). 16 Additionally, intraoperative fluid intake (lactated Ringer's solution) and the amount of irrigating fluid used were also recorded. Additionally, use of vasopressors, analgesic requirements, incidence of TURP syndrome, resected prostate volume, and side effects related to spinal anesthesia (e.g., nausea, vomiting, pruritus, or post-dural puncture headache) were also evaluated.…”

Section: Anesthetic Management and Data Collectionmentioning

confidence: 99%

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Usefulness of non-invasive cardiac output monitoring in elderly patients undergoing monopolar transurethral resection of the prostate: a pilot study

et al. 2020

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Objective To assess the impact of irrigating fluid on hemodynamic profiles using real-time non-invasive cardiac output monitoring (NICOM) in elderly patients undergoing monopolar transurethral resection of the prostate (TURP). Methods Twenty patients between 65 and 80 years of age who were scheduled for monopolar TURP and received spinal anesthesia up to T10 were enrolled. Irrigating fluid (2.7% sorbitol with 0.5% mannitol solution) was used. Hemodynamic profiles including cardiac index, and stroke volume variation (SVV) using NICOM were obtained. Estimated irrigating fluid absorption was indirectly calculated. Results The median amount of irrigating fluid used was 6000 mL. The median SVV was 11%, which increased to 12% at 10 minutes after initiating surgery. No significant changes in the cardiac index were observed. The estimated absorption of irrigating fluid was almost zero. Conclusions Although the estimated amount of irrigating fluid that was absorbed was negligible, the increase in SVV may indicate intravascular volume depletion with diuresis resulting from mannitol in the irrigating fluid early during irrigation. Therefore, even during short irrigating times, intensive hemodynamic monitoring should be performed to monitor the possibility of intravascular volume depletion as well as volume overload, especially immediately after large amounts of irrigating fluid are used.

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“…The estimated absorption of irrigating fluid was indirectly calculated using the following formula: extracellular fluid (ECF) excess = % decrease in sodium × ECF (0.2 × body weight). 16…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Anesthetic Management and Data Collectionmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of non-invasive cardiac output monitoring in elderly patients undergoing monopolar transurethral resection of the prostate: a pilot study

et al. 2020

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“…In [15] a new method for tissue impedance measuring is proposed. A bioimpedance-based comparison between hemodynamic profiles in transurethral resection is described in [16]. Identification of factors like adipocytokines is described in [17], such factors are closely related to absolute body fat weight, body fat radio, and insulin resistance in patients with type 2 diabetes mellitus.…”

Section: Introductionmentioning

confidence: 99%

Bioimpedance phase angle analysis of foot skin in diabetic patients: An experimental case study

Prado-Olivarez

Arellano-Olivares

Padilla-Medina

et al. 2015

IRBM

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The impact of anesthesia on hemodynamic and volume changes in operative hysteroscopy: a bioimpedance randomized study

Moharram

Attar

Kamel

2017

Journal of Clinical Anesthesia

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Comparison of hemodynamic profiles in transurethral resection of prostate vs transurethral resection of urinary bladder tumors during spinal anesthesia: a bioimpedance study

Cited by 5 publications

References 25 publications

Usefulness of non-invasive cardiac output monitoring in elderly patients undergoing monopolar transurethral resection of the prostate: a pilot study

Usefulness of non-invasive cardiac output monitoring in elderly patients undergoing monopolar transurethral resection of the prostate: a pilot study

Bioimpedance phase angle analysis of foot skin in diabetic patients: An experimental case study

The impact of anesthesia on hemodynamic and volume changes in operative hysteroscopy: a bioimpedance randomized study

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