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Canadian Journal of Anesthesia, Vol 38, 90-96, Copyright © 1991 by Canadian Anesthesiologists' Society

ARTICLES

The TURP syndrome

V Jensen
Department of Anaesthesia, University of Alberta Hospitals, Edmonton.

This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. Nausea and vomiting, visual symptoms, and altered states of consciousness have been reported as complications due to intravascular absorption of irrigating fluid. Hypotonicity after absorption of the irrigating fluid causes cerebral oedema. Hyperglycinaemia may cause visual disturbances and hyperammonaemia may cause delayed coma.


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M T Kluger, S M Szekely, R J Singleton, and S C Helps
Crisis management during anaesthesia: water intoxication
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Copyright © 1991 by the Canadian Anesthesiologists' Society.