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Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases
BACKGROUND: Greenlight laser transurethral resection of prostate (TURP) is a standard surgical method used to treat patients with prostate gland enlargement, it is safe and effective. CASE PRESENTATION: We report two cases of sudden occurence of hypotension and bradycardia during greenlight laser TU...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006278/ https://www.ncbi.nlm.nih.gov/pubmed/27576558 http://dx.doi.org/10.1186/s12871-016-0234-x |
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author | Guan, Zheng Liu, Jingjie |
author_facet | Guan, Zheng Liu, Jingjie |
author_sort | Guan, Zheng |
collection | PubMed |
description | BACKGROUND: Greenlight laser transurethral resection of prostate (TURP) is a standard surgical method used to treat patients with prostate gland enlargement, it is safe and effective. CASE PRESENTATION: We report two cases of sudden occurence of hypotension and bradycardia during greenlight laser TURP. Two patients with benign prostatic hypertrophy were scheduled for greenlight laser TURP under spinal anesthesia. Hypotension and bradycardia were suddenly occurred during the operation. The blood gas analysis revealed no hyponatremia (indicating TURP syndrome) or anemia (indicating hemorrhage). Operation was suspended and inotropic agents were administrated intravenous immediately, then blood pressure and heart rate increased to normal level within some minutes. The patients were discharged from hospital without any complications. We considered parasympathetic reflex was occurred during greenlight laser TURP. CONCLUSION: Apart from TURP syndrome, hemorrhage, bladder perforation and high spinal anesthesia, the parasympathetic reflex which is caused by operative process can also induce hypotension and bradycardia during TURP. |
format | Online Article Text |
id | pubmed-5006278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50062782016-09-01 Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases Guan, Zheng Liu, Jingjie BMC Anesthesiol Case Report BACKGROUND: Greenlight laser transurethral resection of prostate (TURP) is a standard surgical method used to treat patients with prostate gland enlargement, it is safe and effective. CASE PRESENTATION: We report two cases of sudden occurence of hypotension and bradycardia during greenlight laser TURP. Two patients with benign prostatic hypertrophy were scheduled for greenlight laser TURP under spinal anesthesia. Hypotension and bradycardia were suddenly occurred during the operation. The blood gas analysis revealed no hyponatremia (indicating TURP syndrome) or anemia (indicating hemorrhage). Operation was suspended and inotropic agents were administrated intravenous immediately, then blood pressure and heart rate increased to normal level within some minutes. The patients were discharged from hospital without any complications. We considered parasympathetic reflex was occurred during greenlight laser TURP. CONCLUSION: Apart from TURP syndrome, hemorrhage, bladder perforation and high spinal anesthesia, the parasympathetic reflex which is caused by operative process can also induce hypotension and bradycardia during TURP. BioMed Central 2016-08-30 /pmc/articles/PMC5006278/ /pubmed/27576558 http://dx.doi.org/10.1186/s12871-016-0234-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Guan, Zheng Liu, Jingjie Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title | Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title_full | Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title_fullStr | Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title_full_unstemmed | Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title_short | Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
title_sort | sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006278/ https://www.ncbi.nlm.nih.gov/pubmed/27576558 http://dx.doi.org/10.1186/s12871-016-0234-x |
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