2000, Number 1
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Rev Mex Anest 2000; 23 (1)
Hypertonic-Hyperoncotic solution in patients scheduled for transurethral prostate resection
Santos MDA, Caballero LFC, Gómez MJJ
Language: Spanish
References: 9
Page: 34-37
PDF size: 715.23 Kb.
ABSTRACT
Objectives: Evaluate the utility of the hipertonic-hyperoncotic solution (HHS) in the prevention of the hiponatremia and hipoproteinemia in patients scheduled for transurethral prostate resection.
Material and Methods: We included 60 patients ASA I - 3, 60 - 85 years old, scheduled for transuretral prostate resection, randomly assigned in two groups: Patients receiving Hartman Solution (Group H), and patients receiving HHS 4 mL/kg. Serum electrolytes and plasma proteins were determined before, during and 24 hours after surgery.
Results: Age, weight, surgical time, and irrigation volume, did not present statistical differences between groups. Patients in the HHS group, showed a light but non significative increase in serum sodium. Patients in group H, showed a significative decrease in serum sodium and oncotic pressure.
Discussion: Serum sodium and oncotic pressure are not affected by the administration of hipertonic-hyperoncotidc pressure and is a safe alternative in the treatment of patients scheduled for transurethral prostate resection.
REFERENCES
3D Atlas 98. CD. Creative Wonders. ABC World Reference.
Butron F, Lugo M, Ramos G, Gálvez S, Velásquez JL, Chávez A, Flores S. Empleo de pentalmidón y dextrán 40 en la hemorragia transoperatoria. Su influencia sobre las pruebas de coagulación, presión oncótica, cuenta de plaquetas y tipificación de la sangre. Rev Mex Anest 1992;15:62-8.
McGough E. Reanimación en caso de choque, traumatismo y quemaduras: Soluciones salinas hipertónicas. Cuidados Intensivos 1991;3:329-49.
Kramer G. Soluciones hiperosmóticas/hiperoncóticas para resucitación de emergencia. 2a Simposia internacional bianual de Anestesiología. Septiembre 1992. Monterrey NL, Mexico.
Qureshi A, Suárez J, Bhardwal A, Mirski M, Schnitzer M, Hanley D, Ulatowski J. Use of hypertonic (3%) saline-acetate infusion in the treatment of cerebral edema: Effect on intracranial pressure and lateral displacement of the brain. Crit Care Med 1998;26:440-46.
Simma B, Burger R, Falk M, Sacher P, Fanconi S. A prospective, randomized, and controlled study of fluid management in children with severe head injury: Lactated Ringer's solution versus hypertonic saline. Crit Care Med 1998;26:1265-70.
Bacher A, Wei J, Grafe M, Quast M, Zornow M. Serial determinations of cerebral water content by rnagnetic resonance imaging after an infusion of hypertonic saline. Crit Care Med. 1998;26:108-14.
Olivares H, Bermúdez G, Lanza E, Meza A, Alfaro F, Luna P. Síndrome de Prostatectomia Transuretral: Reporte de un caso. Rev Mex Anest 1994;17:85-90.
Berger J. Resección Transuretral de Próstata. Cuidados Intensivos 1991;3:359-68.