The use of ethanol to monitor fluid absorption during transurethral resection of the prostate

Scandinavian Journal of Urology and Nephrology

Volumn 33, Issue 5, 1999, Pages 277-283

  Hahn, Robert G ^a,b  

^a STOCKHOLM SÖDER HOSPITAL   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Ethyl alcohol; Irrigation adverse effects; Monitoring apparatus; Transurethral resection of the prostate

Indexed keywords

ALCOHOL; CALCIUM; DIURETIC AGENT; GLYCINE; INFUSION FLUID; MANNITOL; SODIUM CHLORIDE; SORBITOL;

ABSORPTION; BREATH ANALYSIS; DEVICE; EUROPEAN UNION; EXPIRED AIR; HUMAN; HYPONATREMIA; LAVAGE; NOMOGRAM; PATIENT MONITORING; PRIORITY JOURNAL; REVIEW; SODIUM BLOOD LEVEL; TRANSURETHRAL RESECTION;

ABSORPTION; BREATH TESTS; ETHANOL; HUMANS; IRRIGATION; MALE; MONITORING, INTRAOPERATIVE; REFERENCE VALUES; TRANSURETHRAL RESECTION OF PROSTATE;

EID: 0032731059     PISSN: 00365599     EISSN: None     Source Type: Journal    
DOI: 10.1080/003655999750017293     Document Type: Review

References (50)

1. Hahn RG, Ekengren J. Patterns of irrigating fluid absorption during transurethral resection of the prostate as indicated by ethanol. J Urol 1993; 149: 502-6.
2. Olsson J, Rentzhog L, Hjertberg H, Hahn RG. Reliability of clinical assessment of fluid absorption in transurethral prostatic resection. Eur Urol 1993; 24: 262-6.
3. Norris HT, Aasheim GM, Sherrard DJ, Tremann JA. Symptomatology, pathophysiology and treatment of the transurethral resection of the prostate syndrome. Br J Urol 1973; 45: 420-7.
4. Aasheim GM. Hyponatraemia during transurethral surgery. Can Anaesth Soc J 1973; 20: 274-80.
5. Osborn DE, Rao PN, Greene MJ, Barnard RJ. Fluid absorption during transurethral resection. Br Med J 1980; 281: 1549-50.
6. Henderson DJ, Middleton RG. Coma from hyponatraemia following transurethral resection of the prostate. Urology 1980; 15: 267-71.
7. Rhymer JC, Bell TJ, Perry KC, Ward JP. Hyponatraemia following transurethral resection of the prostate. Br J Urol 1985; 57: 450-2.
8. Nilsson A, Hahn RG. Mental status after transurethral resection of the prostate. Eur Urol 1994; 26: 1-5.
9. Olsson J, Nilsson A, Hahn RG. Symptoms of the transurethral resection syndrome using glycine as the irrigant. J Urol 1995; 154: 123-8.
10. Ghanem AN, Ward JP. Osmotic and metabolic sequelae of volumetric overload in relation to the TUR syndrome. Br J Urol 1990; 66: 71-8.
11. Hahn RG, Shemais H, Essén P. Glycine 1.0% versus glycine 1.5% as irrigating fluid during transurethral resection of the prostate. Br J Urol 1997; 79: 394-400.
12. Checketts MR, Duthie WH. Expired breath ethanol measurement to calculate irrigating fluid absorption during transurethral resection of the prostate: experience in a district general hospital. Br J Urol 1996; 77: 198-202.
13. Hahn RG, Sandfeldt L, Nyman C. Double-blind randomized study of symptoms associated with absorption of glycine 1.5% or mannitol 3% during transurethral resection of the prostate. J Urol 1998; 260: 397-401.
14. Hultén JO, Jorfeldt LS, Wictorsson YM. Monitoring of fluid absorption during TURP by marking the irrigating solution with ethanol. Scand J Urol Nephrol 1986; 20: 245-51.
15. Hahn RG, Berlin T, Lewenhaupt A. Irrigating fluid absorption and blood loss during transurethral resection of the prostate studied by a regular interval monitoring (RIM) method. Scand J Urol Nephrol 1988; 22: 23-30.
16. Hahn RG. Ethanol monitoring of irrigating fluid absorption in transurethral prostatic surgery. Anesthesiology 1988; 68: 867-73.
17. Hahn RG. Early detection of the TUR syndrome by marking the irrigating fluid with 1% ethanol. Acta Anaesthesiol Scand 1989; 33: 146-51.
18. Hultén JO, Hahn RG. Monitoring irrigating fluid absorption during transurethral resection of the prostate (TURP): a comparison between 1 and 2% ethanol as a tracer. Scand J Urol Nephrol 1989; 23: 103-8.
19. Rancke F, Schmeller N, Albrecht M. Zusats von Äthylalkohol zur Spülflüssigkeit. Anaesthetist 1992; 41: 324-30.
20. Oku S, Kadowaki T, Uemura T. Early detection of absorption of irrigating fluid during transurethral resection of the prostate with alcohol gas detector tube. Nippon Hinyokikka Gakkai Zasshi 1993; 84: 374-81.
21. Salmela L, Aromaa U, Lehtonen L, Peura P, Olkkola KT. The effect of prostatic capsule perforation on the absorption of irrigating fluid during transurethral resection. Br J Urol 1993; 72: 599-604.
22. Hipp R, Malek-Johannigmann A, Entholzner E, Mielke L, v, Hundelshausen B. Ethyl alcohol as an early marker of irrigating fluid absorption during transurethral prostate resection. Anesthesiology 1994; 81: A603.
23. Scherhag A, Elich D, Heinrichs W. Continuous breath analysis. Monitoring of irrigation absorption syndrome in transurethral prostatic resection. Anaesthetist 1995; 44: 436-41.
24. Hjertberg H, Ekberg S, Hahn RG, Hultén J, Jorfeldt L, Svedberg J. Absorption of irrigating fluid during transurethral prostatic resection as measured by ethanol, radioisotopes and regular-interval monitoring. Urology 1991; 38: 417-22.
25. Shipstone DR, Beacock CJM, Coppinger SWV. Validation of the ethanol breath-test to measure irrigating fluid absorption during TURP by on-table weighing. Br J Urol 1998; 81 Suppl 4: 50-1.
26. Hahn RG, Stalberg HP, Gustafsson SA. Intravenous infusion of irrigating fluids containing glycine or mannitol with and without ethanol. J Urol 1989; 142: 1102-5.
27. Nilsson A, Randmaa I, Hahn RG. Haemodynamic effects of irrigating fluids studied by Doppler ultrasonography in volunteers. Br J Urol 1996; 77: 541-6.
28. Hahn RG, Jones AW, Billing B, Stalberg HP. Expired-breath ethanol measurement in chronic obstructive pulmonary disease: implications for transurethral surgery. Acta Anaesthesiol Scand 1991; 35: 393-7.
29. Hahn RG, Stalberg HP, Ekengren J, Rundgren M. Effects of 1.5% glycine solution with and without ethanol on the fluid balance in elderly men. Acta Anaesthesiol Scand 1991; 35: 725-30.
30. Hahn RG, Ekengren J. Absorption of irrigating fluid and height of the fluid bag during transurethral resection of the prostate. Br J Urol 1993; 72: 80-3.
31. Hjertberg H, Jorfeldt L, Schelin S. Use of ethanol as a marker substance to increase patient safety during transurethral prostatic resection. Urology 1991; 38: 423-8.
32. Hjertberg H, Pettersson B. The use of a bladder pressure warning device during transurethral prostatic resection decreases absorption of irrigating fluid. Br J Urol 1992; 69: 56-60.
33. Hahn RG, Algotsson L-Å, Törnebrandt K. Comparison of ethanol absorption during continuous and intermittent flow irrigation in transurethral resection. Scand J Urol Nephrol 1990; 24: 27-30.
34. Ekengren J, Hahn RG. Continuous versus intermittent flow irrigation in transurethral resection of the prostate. Urology 1994; 43: 328-32.
35. Zhang WB, Ekengren J, Hahn RG. Large-sized bladders reduce intravesical pressure and fluid absorption during TURP using the suprapubic trocar. Urol Int 1996; 56: 28-32.
36. Konrad CH, Gerber H, Schüpfer G, Schmucki O. Transurethral resection syndrome: effect of the introduction into clinical practice of a new method for monitoring fluid absorption. J Clin Anesth 1998; 10: 360-5.
37. Hahn RG, Essén P. ECG and cardiac enzymes after glycine absorption in transurethral prostatic resection. Acta Anaesthesiol Scand 1994; 38: 550-6.
38. Hahn RG, Nilsson A, Farahmand B, Ekengren J, Persson P-G. Operative factors and the long-term risk of acute myocardial infarction after transurethral resection of the prostate. Epidemiology 1996; 6: 93-5.
39. Jones AW. Quantitative measurements of the alcohol concentration and the temperature of breath during prolonged exhalation. Acta Physiol Scand 1982; 114: 407-12.
40. Hultén J, Sarma VJ, Hjertberg H, Palmquist B. Monitoring of irrigating fluid absorption during transurethral prostatectomy. Anaesthesia 1991; 46: 349-53.
41. Stalberg HP, Hahn RG, Jones AW. Ethanol monitoring of transurethral prostatic resection during inhalation anesthesia. Anest Analg 1992; 75: 983-8.
42. Olsson J, Hahn RG. Analysis of ethanol in expired air during low-flow isoflurane anaesthesia. Br J Anaesth 1996; 76: 85-9.
43. Hahn RG. Ethanol monitoring of extravascular absorption of irrigating fluid. Br J Urol 1993; 72: 766-9.
44. Olsson J, Hahn RG. Simulated intraperitoneal absorption of irrigating fluid. Acta Obstet Gynecol Scand 1995; 74: 707-13.
45. Hultén JO. Absorption of irrigating fluid during TURP-fact and fiction. Scand J Urol Nephrol 1991; Suppl 138: 67-71.
46. Hahn RG. Estimation of fluid absorption by using the area under the curve for ethanol in expired air. Urol Int 1997; 58: 25-9.
47. Rangno RE, Krefft JH, Sitar DS. Ethanol "dose-dependent" elimination: Michaelis-Menten V classical kinetic analysis. Br J Clin Pharmacol 1981; 12: 667-73.
48. Hahn RG. Life-threatening transurethral resection syndrome despite monitoring of fluid absorption with ethanol. Eur J Anaesth 1995; 12: 431-3.
49. Hahn RG. Irrigating fluids in endoscopic surgery (review). Br J Urol 1997; 79: 669-80.
50. Hahn RG. Transurethral resection syndrome from extravascular absorption of irrigating fluid. Scand J Urol Nephrol 1993; 27: 387-94.