Use of ethanol as marker substance to increase patient safety during transurethral prostatic resection

Hjertberg, Hans; Jorfeldt, L.; Schelin, Sonny

doi:10.1016/0090-4295(91)80230-5

Cited by 28 publications

(17 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…groups have estimated the dose of ethanol absorbed from the area under the curve (AUC) of plots of ethanol concentration vs. time [34][35][36]. This is a classical How to interpret the ethanol data method, but justifed only if the elmination is exponential (first-order) -which is not true of ethanol Pharmacokinetics of ethanol [26].…”

Section: Practical Aspectsmentioning

confidence: 99%

Ethanol monitoring of irrigating fluid absorption

Hahn

1996

European Journal of Anaesthesiology

View full text Add to dashboard Cite

Section: Practical Aspectsmentioning

confidence: 99%

Ethanol monitoring of irrigating fluid absorption

Hahn

1996

European Journal of Anaesthesiology

View full text Add to dashboard Cite

“…Indeed, 17% of operations in the trainees/NCG group were carried out by experienced NCG surgeons, and one of the two hospitals in the study was a tertiary referral hospital whose trainees tend to be in their last 2 years of training. However, that there was no significant difference between consultants and less experienced surgeons is not a new finding [39]. It seems likely that irrigation fluid absorption depends as much on the intricacies of the individual prostate as on surgical ability and experience, and supports the view that it is difficult to predict who is going to absorb and who is actively absorbing during TURP.…”

Section: Discussionmentioning

confidence: 99%

Is using ethanol–glycine irrigating fluid monitoring and ‘good surgical practice’ enough to prevent harmful absorption during transurethral resection of the prostate?

et al. 2006

View full text Add to dashboard Cite

glycine (analysed by anion-exchange chromatography). RESULTSComplete data on 120 men were assessed; 75% of the men absorbed irrigation fluid, with glycine levels above the normal range. The sodium levels tended to decrease with increasing glycine levels (Spearman's rank correlation coefficient, − 0.57; 120 men) and five men (4%) developed clinical features of the TUR syndrome. There was a weak correlation between breath-ethanol levels and serum glycine levels (Spearman's rank correlation coefficient, 0.54). The experience of the surgeon, the weight of the resected chips, and the operative duration were not significantly predictive of irrigation fluid absorption. CONCLUSIONSA rising breath-ethanol level indicates irrigation fluid absorption. However, irrigating fluid absorption is unpredictable, supporting the case for alternative, potentially safer irrigants.

show abstract

“…Intra-vesicular pressure above 30 mmHg and increasing resection time have been proposed to increase the absorption of fluid [12, 13]. Averagely, 15 l of irrigation fluid is used during a 60-min-lasting TURP procedure [14, 15]. Still, severe changes in blood values after TURP with distilled water were rarely reported and it has been shown to be a safe irrigating fluid for TURP [15].…”

Section: Possible Side Effectsmentioning

confidence: 99%

The use of distilled water in the achievement of local hemostasis during surgery

2009

View full text Add to dashboard Cite

Distilled water is used worldwide to check on hemostasis at the end of pelvic oncological operations. Nevertheless, reports about this method are lacking. The aim of this study was to explain the method and to discuss possible side effects. After the addition of distilled water to the surgically exposed pelvis, rapid lysis of erythrocytes results in a transparent fluid in which a small source of bleeding is easily recognizable. A possible side effect of the lavage might be contribution to the formation of peritoneal adhesions by confusing the abdominal defence system. Systemic side effects are not to be expected. Although tumour cells might suffer from hypotonic distilled water lavage, the current use of distilled water at the end of surgery is probably not effective to lyse tumour cells. Our findings support the ongoing use of distilled water lavage to achieve hemostasis after extensive pelvic surgery.

show abstract

Use of ethanol as marker substance to increase patient safety during transurethral prostatic resection

Cited by 28 publications

References 22 publications

Ethanol monitoring of irrigating fluid absorption

Ethanol monitoring of irrigating fluid absorption

Is using ethanol–glycine irrigating fluid monitoring and ‘good surgical practice’ enough to prevent harmful absorption during transurethral resection of the prostate?

The use of distilled water in the achievement of local hemostasis during surgery

Contact Info

Product

Resources

About