臨床症例報告ジャーナル

Tur Syndrome Developing Under Spinal Anesthesia

Abstract

Ozkan Onal, Aykut Demirci and Omer Bayrak

Transurethral Prostate Resection (TUR) opens large venous network and allows irrigation fluid to be absorbed into systemic circulation. The absorption of 2000 ml or more fluid causes a syndrome known as TUR-P syndrome and presents with head ache, restlessness, confusion, cyanosis, dyspnea, arrhythmia, hypotension and convulsions. The most important point in treatment is early diagnosis. When suspected, serum sodium levels of the patients should be measured. In cases with large prostate whose operation is estimated to last long, perioperative sodium measurement should be made routinely. Compared to general anesthesia, regional anesthesia decreases the incidence of postoperative venous thrombosis and the probability of symptoms being masked. Regional anesthesia enables earlier recognition and faster and more efficient treatment of TUR syndrome.