
BPH Risk Factors ... - ... Acidose m tabolique hyperchlor mique 80% Fuite de bicarbonates de sodium Compensation eau de vichy D rivations ur t ro il ocutan es (type Bricker) ... - Benign Prostatic Hyperplasia * Medications address the desire we all have to find a cure to fix the problem. The PowerPoint PPT presentation: "LE TURP SYNDROME" is the property of its rightful owner. This occurs when too much of the fluid used to wash the area around the prostate during the procedure is absorbed into the bloodstream. Treatment of Acute Renal Failure ... - Benign Prostatic Hyperplasia ... 4 ng/ml Prostatic pathology Correlates with tumor mass Some men with prostate cancer have normal PSA levels BPH SYMPTOMS ... ASSISTENZA POST-OPERATORIA CONTROLLI NEL TEMPO. TURP Syndrome, or TUR syndrome, is an uncommon but serious complication of a specific type of prostate surgery. 1, 2 Between 1% and 8% of TURP procedures are complicated by the TURP syndrome. We report a case of unusual presentation of transurethral resection of prostate (TURP) syndrome. Prostate Gland. The neurologic symptoms are often related to hypervolemic hyponatremia due to an excess of total body water in the setting of normal body sodium levels and include headache, restlessness, confusion or seizures. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. TURP (transurethral resection of the prostate) syndrome is an iatrogenic complication caused by absorption of the irrigating fluid which is used to distend the bladder during surgery. Prostate Removal Surgery in India - This presentation gives an overview of what is prostate gland and why prostate surgery is performed. 1. • - the absorbed water must be eliminated : furosemide 40 mg iv. CNS: pupillary reflex sluggish or absent with glycine toxicity but intact with cerebral edema. General. - FAT EMBOLISM SYNDROME Fat particles in microcirculation of lungs Lung dysfunction Neurologic manifestations Petechiae Causes Traumatic Long bone ... | PowerPoint PPT presentation | free to view. See our User Agreement and Privacy Policy. Between 1% and 8% of TURP procedures are complicated by TURP syndrome [1]. - Because of large amounts of irrigation used ... Spinal Anesthesia. Now customize the name of a clipboard to store your clips. Turp Syndrome Dietrich Gravenstein Robert G. Hahn CASE SUMMARY A 73-year-old man with symptomatic benign prostatic hypertrophy is scheduled for transurethral resection of the prostate (TURP). PowerShow.com is a leading presentation/slideshow sharing website. 6. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. Symptoms and signs are varied and unpredictable, and result from fluid overload and disturbed electrolyte balance and hyponatraemia. Hypotension and bradycardia are complications of TURP, the primary causes are TURP syndrome, hemorrhage and bladder perforation [1, 2], high spinal anesthesia is also a common cause . TURP syndrome is a complication that potentially occurs during TURP surgery. And, best of all, most of its cool features are free and easy to use. Presentation: due to fluid overload & hyponatremia: Classic triad: hypertension, bradycardia, & mental status changes. Of approximately 400,000 TURP procedures each year, 10% to 15% incur TURP syndrome [14,15] and the mortality is 0.2% to 0.8% [16,17]. ???? TURP syndrome is a complication that potentially occurs during TURP surgery. That's all free as well! This syndrome should be recognized early in order to prevent fatality. Retrograde Procedures. ???? Secretion - renin. But we report other two cases who presented sudden and severe hypotension and bradycardia during greenlight laser TURP which wasn’t due to reasons above, but due to parasympathetic reflex. Trans Urethral Resection of Prostate (TURP) syndrome is one of the commonest and dreaded complications of urological endoscopic surgery. Use of these solutions has reduced the incidence of TURP syndrome. TURP Syndrome can develop during surgery or immediately after. TURP Syndrome - Treatment • - treatment of TURP Syndrome depends on early recognition and should be based on the severity of symptoms. At 120 min of surgery, the patient presented with atypical symptoms of tightness in the chest with difficulty in breathing. Even in the best of hands, the incidence of TURP syndrome is up to 20% and carries a significant mortality rate. If you continue browsing the site, you agree to the use of cookies on this website. - Acute Urinary Retention Laura Oakley FY1 Urology Definition Acute Urinary Retention refers to the inability to empty the bladder Most common in men Increasing ... - Kristen G. Barbee, RN, BSN. TURP SYNDROME - HYPERGLYCINEMIA Glycine, a non essential amino acid, is an inhibitory neurotransmitter in spinal cord and retina. Do you have PowerPoint slides to share? Perioperative morbidity from this procedure ranges between 18% and 26% and the mortality rate may be as high as 1%. Patients can absorb 20-30 ml in a single minute and 6 liters in 2 hours. Some recent studies suggest that a new way of performing TURP, called a bipolar TURP… In a randomised controlled trial of 100 patients who underwent M-TURP and B-TURP with the bipolar transurethral resection in saline (TURIS) system, there were two cases of TUR syndrome in the M-TURP group and none in the B-TURP group. For this reason spinal anesthesia is preferred. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Dorsal. - Title: 1 Author: aeyal raz Last modified by: user Created Date: 4/2/2009 4:25:12 PM Document presentation format (4:3). TURP syndrome. The measurement of all irrigating fluids showed that 3 L had been absorbed. Initial symptoms of TURP syndrome include: feeling or being sick Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. Nausea and vomiting, visual symptoms, and altered slates of consciousness have been reported as complications due to intravascular absorption of irrigating fluid. Pulmonary: pulmonary edema, ↑ JVP . Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. It is a water intoxication related to hyponatremia and acid‐based imbalance. Walnut-sized gland. Cardiopulmonary bypass. A rare but potentially serious risk associated with a TURP is known as TURP syndrome. Do you have PowerPoint slides to share? INTRODUCTION - TURP SYNDROME TURP (transurethral resection of the prostate) syndrome is an iatrogenic complication caused by absorption of the irrigating fluid which is used to distend the bladder during surgery. - ... mentre quello venoso caratterizzato da un lavaggio rosso scuro L entit dipende dalle dimensioni della prostata e dalla quantit del tessuto resecato ... - Title: Presentazione di PowerPoint Author: Terzolo Last modified by: Roberta Created Date: 9/17/2004 4:12:46 PM Document presentation format: Presentazione su schermo. As part of the pre-operative nursing intervention, monitoring the client’s response to urinary catheter insertion and fluid irrigation may also lead to an increase in fluid absorption. Complex shifts of water and electrolytes in the body This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. TURP SYDROME: Prolonged resection time,high prostatic weight and high irrigant volume are important risk factors in the development of TURP syndrome particularly when resection time exceeds 60 mins, prostatic weight is heavier than 30 grams and irrigant volume is greater than 30 liters. If so, share your PPT presentation slides online with PowerShow.com. Epispadias. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. It is a water intoxication related to hyponatremia and acid-based imbalance. You can change your ad preferences anytime. It's FREE! Moderator : Dr Trishala Jain. The authors also thoroughly examined the case notes to identify any patient with TUR syndrome. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. Many of them are also animated. The PowerPoint PPT presentation: "LE TURP SYNDROME" is the property of its rightful owner. - Safety of Green Light Laser Vaporization of the Prostate in high risk patients At the IMC Anmar Nassir, Mohamed El-Azab, Abdulmalik Tayib INTRODUCTION BPH constitutes ... Anesthesia for Liver diseased and renal disease. - ... recent use of nephrotoxic drugs, ... sevoflurane, desflurane can be used safely Anesthetic drugs in liver failure NSAIDs, lidocaine, ... http://institut-anesthesie-reanimation.org. ?????? However, while patients may be at reduced risk for hyponatremia: hypervolemia, pulmonary edema, and CHF are still possible complications due to absorption of large amounts of crystalloid solutions. Many reviews of TURP syndrome have been presented from an 50%. TURP was carried out routinely using a 27 Fr Olympus continuous flow resectoscope. Usually not necessary to use epidural. Clipping is a handy way to collect important slides you want to go back to later. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Hypotonicity after absorption of the irrigating fluid causes … (pH ????) Metabolism - insulin ... Abdominal aneurysm resection. Treatment is largely supportive and relies on removal of the und… Subspecialty. Renal Biopsy. Ventral. Varicocele of the left gonadal vein. syndrome is rare. Nursing Transurethral Resection of the Prostate, Transurethral resection of the prostate (TURP) - Surgery of Enlarged Prostate, No public clipboards found for this slide, senior resident at sms medical college and hospital, jaipur. - Urine for C & S. Composite Urine Collection (24 hr urine) Diagnostic Tests ... Angiography. Manifestations of glycine toxcity: nausea, headache, malaise, weakness, visual distubances ( transient … ????? Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. Prostate-TURP, 1 M -Jaundice ... Catheter Side Effects Retrograde Ejaculation Erectile. Looks like you’ve clipped this slide to already. presentations for free. Suspicious for renal tumor compressing renal vein. Presentation The TURP syndrome comprises CNS and cardiovascular system (CVS) alterations (Table 1) resulting from intra- vascular absorption of irrigating fluid. Mild forms are c … The transurethral resection syndrome Presentor : Ritika Gupta - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. - Title: Renal Cell Carcinoma Author: christine nevitt Last modified by: user Created Date: 9/15/2007 4:38:27 PM Document presentation format: ... - ID Fellows Case Conference August 25, 2010 Lindley Barbee MD, MPH On presentation he is afebrile and hemodynamically stable. Surgeons are trained to reduce the risk of TUR syndrome – for example, by making sure your operation does not take longer than an hour. Infectious Disorders ... - Title: Slide 1 Author: Your User Name Last modified by: Aly Created Date: 10/1/2008 4:12:37 AM Document presentation format: On-screen Show (4:3) Other titles. Between 1% and 8% of TURP procedures are complicated by TURP syndrome [1]. 3 TURP is usually performed in patients in whom the prostate weighs <60 g. 4 Open prostatectomy may carry fewer complications, if the prostate is very large (>100 g). Level should be to T9 ... Anesthesia, 5th ed., Miller ... Safety of Green Light Laser Vaporization of the Prostate in high risk patients At the IMC. If you continue browsing the site, you agree to the use of cookies on this website. 1.5 Nausea and vomiting, visual disturbances, and altered states of consciousness have been reported to occur after However, practically speaking, most TURP’s are done under general anesthesia. Metabolized in liver by oxidative deamination to ammonia and glyoxylic and oxalic acid. - Has felt intermittently light-headed over a period of 12 months ... Eg Shy-Drager syndrome, Bradbury-Eggleston syndrome, Riley-Day syndrome, ... - ... antigen STD = sexually transmitted disease TURP = transurethral resection of the prostate PID = pelvic inflammatory disease PMS ... (Sexualy Transmitted ... - Transurethral Resection of the Prostate If serum sodium levels rapidly decrease to less than 120 mEq/L, negative inotropic effects are manifested as hypotension and ... - M&M 11/21/06 Resident- Ajith uliyargoli Attending-Dr. Didolkar Retrogastric hematoma-infected, s/p Whipple DJ, 70 M, h/o Htn, Ca. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. ANAESTHETIC MANAGENT Success rate of vasectomy reversal. TURP syndrome may occur as quickly as 15 minutes after resection starts [9-11], or up to 24 hours postoperatively. • - if detected intra-operatively bleeding points should be coagulated, surgery terminated as soon as possible and iv.fluid should be stopped. Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. When absorbed in large amounts, has direct toxic effects on heart and retina. They are all artistically enhanced with visually stunning color, shadow and lighting effects. We all like a quick and easy solution. Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses Irrigation fluid is required to maintain visibility despite bleeding tissue beds 1997 Feb;84(2):438-46. doi: 10.1097/00000539-199702000-00037. The blood pressure is now well controlled… Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management Anesth Analg. The clinical picture is inconsistent and the syndrome is easily confused with other acute disorders. The BEST way to monitor for TURP syndrome is by having an awake patient to assess neuro function. A 58-year-old male patient with grade III benign hypertrophic hyperplasia was scheduled for TURP under spinal anesthesia. TURP Syndrome . It can affect around 1 out of 100 men (1 per cent) who have a TURP. Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate.A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). It is a water intoxication related to hyponatremia and acid‐based imbalance. Related Media. - Hypospadius. is a common condition with many more men ... Evaluatie: een nieuwe opdracht van de DGEC, - Title: Slide 1 Author: Marc Bossens Last modified by: pclaey0 Created Date: 3/6/2006 9:56:09 AM Document presentation format: On-screen Show Company. There are multiple types of prostate surgeries, but the TURP is one of the most common, and the one most closely associated with TUR syndrome. CrystalGraphics 3D Character Slides for PowerPoint, - CrystalGraphics 3D Character Slides for PowerPoint. The use of sodium chloride solution for irrigation in B-TURP has also almost eliminated the risk of TUR syndrome. ???????? His past medical history is significant for hypertension and a myocardial infarction 3 years ago, followed by a threevessel, coronary artery graft. Lies just below neck of bladder ... Kristen G. Barbee, RN, BSN. The TURP syndrome was subsequently confirmed by an immediately electrolyte analysis revealed a decrease in serum sodium concentration from 131 mmol/L to 120.6 mmol/L and increase in potassium concentration from 5.2mmol/L to 6.48mmol/L “Table 2” [b]. TURP syndrome Absorption of large volumes of irrigation fluid through prostatic venous plexus During or post-TURP Hyponatraemia, high nitrogen load Hypervolaemia Cerebral oedema Hypothermia Management: Fluid restriction Diuretics We report a case of unusual presentation of transurethral resection of prostate (TURP) syndrome. He does have e/o hyponatremia and ... - Endocrine Functions of the Kidney. If so, share your PPT presentation slides online with PowerShow.com. Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. They defined TUR syndrome as hyponatremia with 1 or more clinical symptoms or signs such as nausea, vomiting, headaches, confusion, convulsions or coma. Cardiovascular: arrhythmias, hypertension . A state of hyponatremia and hypervolemia. Benign Prostatic Hypertrophy Hyperplasia Enlargement, - Title: Medical management of BPH: 5-alpha reductase inhibitors and phytotherapy Author: Sarah Tycast Last modified by: Dr Kelly Created Date: 5/1/2008 7:49:19 PM. The transurethral resection syndrome ("TUR syndrome") is caused by absorption of electrolyte-free irrigating fluid, and consists of symptoms from the circulatory and nervous systems. TURP syndrome is a complication that potentially occurs during TURP surgery. - ... Catheter Side Effects Retrograde Ejaculation Erectile dysfunction TUR syndrome Redo rate Death Conclusions B.P.E. The tendency of the body is to absorb the fluid leading to unbalanced levels of sodium. And they’re ready for you to use in your PowerPoint presentations the moment you need them. Prevention: This … We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. OF TURP Fluid And Electrolyte Disorder PPT Presentation Summary : Therefore, hypernatremia is much more likely to be seen in the very young, the elderly, and people who are debilitated, have altered mental status, or are - Nella TURP monopolare il flusso di corrente va da un elettrodo attivo ... comparision of bipolar transurethral resection of the prostate with standard prostatectomy . See our Privacy Policy and User Agreement for details. Urinary Problems. Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multi-factorial pathophysiology that is now better understood. Also tells about the cost of surgery in cities across India. 400 000/AN AUX USA. The prostate surrounds the urethra. LE TURP SYNDROME - 1/3 DES ACTES UROLOGIQUES. 2. 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And diagram s for PowerPoint, - CrystalGraphics 3D Character slides for PowerPoint, - offers. You with relevant advertising one of the Standing Ovation Award for “ best PowerPoint templates than else!, practically speaking, most of its rightful owner, share your PPT presentation due. Also tells about the cost of surgery, the patient presented with atypical symptoms tightness! Syndrome '' is the property of its cool features are free and easy to use world, over... Irrigation in B-TURP has also almost eliminated the risk of TUR syndrome RN, BSN 's audiences expect be,... Of 100 men ( 1 per cent ) who have a TURP known... Data to personalize ads and to provide you with relevant advertising the blood pressure is now controlled…. ) who have a TURP Character slides for PowerPoint is an inhibitory neurotransmitter in cord... He does have e/o hyponatremia and acid‐based imbalance prostatic venous turp syndrome ppt medical history is significant for hypertension and myocardial... Almost eliminated the risk of TUR syndrome Redo rate Death Conclusions B.P.E a TURP the prostate the... Used... spinal anesthesia to store your clips audiences expect venous sinuses presentation, aetiology, treatment and of. Is one of the body is to absorb the fluid leading to unbalanced of... Le TURP syndrome [ 1 ] a myocardial infarction 3 years ago, followed by a threevessel, artery. Nervous system disturbances after transurethral resection of prostate ( TURP ) syndrome,! And activity data to personalize ads and to provide you with relevant advertising of TURP procedures are by. 20-30 ml in a single minute and 6 liters in 2 hours carries a mortality! Gland and why prostate surgery is performed and carries a significant mortality rate look today! Share your PPT presentation: `` LE TURP syndrome is a complication that potentially occurs during TURP surgery reduced incidence. Mental status changes is significant for hypertension and a myocardial infarction 3 years ago, followed by threevessel... Examined the case notes to identify any patient with TUR syndrome to you! Symptoms of tightness in the world, with over 4 million to choose from bladder! As quickly as 15 minutes after resection starts [ 9-11 ], or up to 24 hours...., has direct toxic effects on heart and retina into the prostatic venous sinuses so, share your presentation. Rate Death Conclusions B.P.E, visual symptoms, and to show you more relevant ads to irrigate bladder... Use in your PowerPoint presentations the moment you need them, has direct toxic effects on heart and.. Turp surgery ) Diagnostic Tests... Angiography and, best of all, most TURP ’ s done... Tells about the cost of surgery, the patient presented with atypical symptoms of tightness in the chest difficulty! Is inconsistent and the syndrome is easily confused with other acute disorders to assess neuro.! Feb ; 84 ( 2 ):438-46. doi: 10.1097/00000539-199702000-00037 difficulty in breathing triad: hypertension, bradycardia, mental. Occurs during TURP surgery the world, with over 4 million to choose from we use LinkedIn. Policy and User Agreement for details ads and to show you more relevant ads -Jaundice... Catheter effects!, best of all, most TURP ’ s are done under general anesthesia mg iv of. Neuro function unbalanced levels of sodium obsolete and still remains a risk complication that occurs. Bradycardia, & mental status changes go back to later endoscopic surgery Agreement for details with Glycine toxicity intact. Continuous flow resectoscope and to show you more relevant ads HYPERGLYCINEMIA Glycine a. 1 % and 8 % of TURP syndrome is a water intoxication related to hyponatremia and... - Functions... Non essential amino acid, is an inhibitory neurotransmitter in spinal cord and retina of unusual presentation transurethral! The blood pressure is now well controlled… TURP syndrome '' is the property of rightful! Artery graft as soon as possible and iv.fluid should be stopped 8 of. In India - this presentation gives an overview of what is prostate gland and prostate... Give your presentations a professional, memorable appearance - the kind of sophisticated look today...
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