TURP SYNDROME - HYPERGLYCINEMIA Glycine, a non essential amino acid, is an inhibitory neurotransmitter in spinal cord and retina. Metabolized in liver by oxidative deamination to ammonia and glyoxylic and oxalic acid. When absorbed in large amounts, has direct toxic effects on heart and retina. Manifestations of glycine toxcity: nausea, headache, malaise, weakness, visual distubances ( transient blindness), seizures, encephalopathy.
TURP. 1. TRANSURETHRAL RESECTION OF PROSTATE By Dr VISHAL KR. KANDHWAY. 2. INTRODUCTION Benign prostate hyperplasia is responsible for majority of urinary symptoms in men over 50 yrs of age TURP is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostate (BPH ( -TURP uses cystoscopy and a resectoscope to remove tissue protruding into the prostatic urethra.
Nursing Management TURP syndrome: This would present as Restlessness, headache, tachypnea, bradycardia, prolonged QRS, hypo/hypertension. May progress to respiratory distress, hypoxia, pulmonary edema, nausea, confusion and coma. Most common derangement is hypo-osmolality because the BBB is impermeable to sodium but freely permeable to water. Se hela listan på mayoclinic.org TURP Syndrome can develop during surgery or immediately after. The neurologic symptoms are often related to hypervolemic hyponatremia due to an excess of total body water in the setting of normal body sodium levels and include headache, restlessness, confusion or seizures.
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CNS: pupillary reflex sluggish or absent with glycine toxicity but intact with cerebral edema. Prevention: Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multi-factorial pathophysiology that is now better understood. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. Many reviews of TURP syndrome have been presented from an TURP Syndrome, or TUR syndrome, is an uncommon but serious complication of a specific type of prostate surgery. There are multiple types of prostate surgeries, but the TURP is one of the most common, and the one most closely associated with TUR syndrome. During Trans Urethral Resection of the Prostate surgery (TURP), a sterile irrigation solution that is similar to water is used to keep the surgical area clean.
TURP Syndrome can develop during surgery or immediately after. The neurologic symptoms are often related to hypervolemic hyponatremia due to an excess of total body water in the setting of normal body sodium levels and include headache, restlessness, confusion or seizures.
TURP syndrome is a complication that potentially occurs during TURP surgery. It is a water intoxication related to hyponatremia and acid‐based imbalance. This syndrome should be … Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure.
Turner syndrome : causes, symptoms and treatment - Turner syndrome is a health complication that affects only girls and women when the X chromosome (a sex chromosome) is partially or completely missing. Turner syndrome is usually diagnosed in prenatal stages, during infancy or in early childhood. | PowerPoint PPT presentation | free to view
TURP Syndrome can develop during surgery or immediately after. The neurologic symptoms are often related to hypervolemic hyponatremia due to an excess of total body water in the setting of normal body sodium levels and include headache, restlessness, confusion or seizures. This study aimed to develop a nursing instrument to assess TURP syndrome. TURP syndrome is a complication that potentially occurs during TURP surgery.
Transurethral resection of the prostate is the operation carried out primarily to relieve
Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH).
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Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management Anesth Analg . 1997 Feb;84(2):438-46. doi: 10.1097/00000539-199702000-00037. TURP syndrome: This would present as Restlessness, headache, tachypnea, bradycardia, prolonged QRS, hypo/hypertension.
Definition of syndrome: a group of signs and symptoms that occur together and characterize a particular abnormality TS is a variable condition and every girl and woman with TS is unique and no generalization will apply to everyone, no matter how accurate it is for the group. Dr. Soto's Tome of Anesthesia Knowledge and Wisdom
Of the 100 patients who underwent TURP, four patients developed intraoperative subtrigonal perforation, three patients showed incomplete resection, and one experienced TURP syndrome. There was no mortality in the postoperative period.
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25 Jun 2013 Transurethral Resection of the Prostate (TURP): Overview Retrograde ejaculation; Bleeding; TUR Syndrome; Catheter time; Hospital Stay.
11 A study from Japan reported that 23.5% of elderly patients experienced TURP syndrome. Title: TURP Author: YlmF Last modified by: winston Created Date: 12/22/2008 2:39:08 PM Document presentation format: – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 54b98a-OWRmM Trans Urethral Resection of Prostate (TURP) syndrome is one of the commonest and dreaded complications of urological endoscopic surgery. Even in the best of hands, the incidence of TURP syndrome is up to 20% and carries a significant mortality rate. This paper highlights the various pathophysiological mechanisms of TURP syndrome, steps to This study describes a common but moderate occurrence of TURP syndrome whose management was facilitated by patient's alertness during spinal anesthesia.
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Many reviews of TURP syndrome have been presented from an 10 The prevalence of TURP syndrome rates were 2.0% to 4.8%, respectively. 11 A study from Japan reported that 23.5% of elderly patients experienced TURP syndrome. TURP syndrome. As part of the pre-operative nursing intervention, monitoring the client’s response to urinary catheter insertion and fluid irrigation may also lead to an increase in fluid absorption. The tendency of the body is to absorb the fluid leading to unbalanced levels of sodium. A state of hyponatremia and hypervolemia. Nursing Management Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure.
1. TURP syndrome * CVS – hypertension and bradycardia : volume overload a balance between absorption and loss +/- increased ADH (from stress and glycine) * Neurological : N, weakness, confusion, agitation, seizures and coma, from : o Dilutional hyponatraemia and hypoproteinaemia à cerebral oedema (controversy here because osmolality is normal)
It 2009-05-04 Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multi-factorial pathophysiology that is now better understood. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. Many reviews of TURP syndrome have been presented from an The TURP syndrome can start 4 to 24 hours later [12,14,27,54] with coma, blindness, grand mal seizures, and hemiplegia . Problems may be forestalled by using loop and other salt-wasting diuretics with a concomitant infusion of saline-even in the presence of near normal serum sodium concentration-during the first 12 postoperative hours [41,65] . TUR syndrome | Medical mnemonics, Hyponatremia pinimg.com (PDF) GYNAECOLOGICAL TURP SYNDROME rgstatic.net PPT - ANAESTHETIC MANAGEMENT OF ENDOSCOPIC UROLOGIC Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses.
of acute myocardial infarction after transurethral resection of the pro 3 Sep 2012 The former has enabled elimination of TUR syndrome 5 and the latter, which involves enucleation of the Open in figure viewerPowerPoint. 3 Mar 2014 exist between the two techniques, but B-TURP is preferable due to a more favorable safety profile (lower. TUR syndrome and clot retention 9 Feb 2018 Transurethral Resection of Prostate Syndrome, Drug: NaCl 3% HS Official Title: Prophylaxis Versus Treatment Against TURP Syndrome WOLFF-PARKINSON-WHITE SYNDROME (WPW). -Is considered the Great Mimic. Tends to mimic many other ECG conditions. Is fairly uncommon (2 per 1000) Surgery on the prostate gland can have many side effects, including erectile problems and urinary incontinence. 13 Sep 2011 However, the cardiac complications of TURP syndrome in patients with recent prosthetic valve replacement have received scant attention.