Jacobs Journal of Emergency Medicine

Management of Patients with Transurethral Resection of Prostate Syndrome in the Intensive Care Unit

Published on: 2018-05-28

Abstract

The aim of this case report is to present our experience in the intensive care unit with patients with transurethral resection of the prostate (TURP) syndrome. Three patients undergoing transurethral prostatectomy under epidural analgesia had been transferred intubated in our ICU from the operating room because of mental confusion, discomfort, hypoxemia, acute pulmonary edema, bradycardia, hypotension, electrolyte disorders, anuria and elevated creatinine levels. All three patients were successfully resuscitated with mechanical ventilation, inotropic agents, diuresis and other supportive measures of the ICU. After treatment’s initiation, patients’ clinical picture improved significantly and they were released from the ICU on the third day of hospitalization. We underline the importance of: a) early diagnosis, b) good communication between surgical and ICU teams, c) role of irrigating fluid used and, d) immediate initiation of proper treatment in order to have an optimal outcome.

Keywords

TURP Syndrome, Electrolyte Disorder, Irrigating Fluid