Absorption of irrigating fluid during transurethral prostatic resection as measured by ethanol, radioisotopes, and regular-interval monitoring.
Ethanol monitoring is a novel noninvasive method for immediate detection of absorption of irrigating fluid during transurethral prostatic resection. Its accuracy was evaluated during thirteen resections using 5% mannitol +2% ethanol as the irrigating fluid. The ethanol concentration in the expired breath correlated strongly with the degree of absorption of intravascular irrigating fluid as determined by a radioisotope technique, and fluid volume measurements, and with the changes in the serum sodium concentration. Extravascular absorption of the irrigating fluid resulted in prolonged elevation of the ethanol concentration and gave smaller changes in the serum sodium concentration.
Hjertberg
H
H
Department of Urology, Linköping University Hospital, Sweden.
Ekberg
S
S
Hahn
R
R
Hultén
J
J
Jorfeldt
L
L
Svedberg
J
J
D000042:Absorption; D000368:Aged; D001769:Blood / Q000000981:diagnostic imaging; D001944:Breath Tests; D000431:Ethanol / Q000032:analysis*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D011468:Prostatectomy; D011877:Radionuclide Imaging; D007507:Therapeutic Irrigation / Q000009:adverse effects
D000431:Ethanol