The effects of bipolar and monopolar resectoscope on hemodynamic and plasma elctrolytes in transurethral resection procedures

Öz

In our study, we compared the effects of monopolarm and bipolar resectoscope use on hemodynamics, serum electrolytes, and length of hospital stay of patients who is undergoing TUR-P with spinal , anesthesia. After approval of the Faculty Ethical Committee and the written consent of the patients, 60 patients are randomly allocated into two groups that is planned to perform TUR-P with bipolar resectoscope (Group B)(n=30) group and monopolar resectoscope (Group M)(n=30), respectively. Spinal anesthesia had been performed to alj patients. Blood pressure, heart rate and respiratory rate were monitorized with five minutes periods during the operation. Serum Na\ K+, Cl", Hb ve Hct values measured before the operation, at 30. , minute of the operation, 1., 24. h after the operation. Urethral catheterization time and length of hospital stay had been recorded. In Group M , blood pressure of the patients at 25th and 30th minutes had been decreased significantly comparison to the control values (p

Anahtar Kelimeler

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Transüretral rezeksiyon girişimlerinde bipolar ve monopolar rezektoskop kullanımının hemodinami ve serum elektrolitlerine etkisi

Öz

Çalışmamızda, spinal anestezi altında transüretral prostat rezeksiyonu uygulanan hastalarda monopolar, ve bipolar rezektoskop kullanımının hemodinami, serum elektrolitleri,üretral kateter, süresi ve hastanede kalış süresi üzerine olan etkilerinin karşılaştırılması amaçlandı. Fakülte Etik Kurul onayı ve hasta onamı alındıktan sonra, 60 hastayı rastgele iki gruba ayrıldı. Çalışma grubunda bipolar. (Grup B) (n=30), kontrol grubunda monopolar (Grup M)(n=30) rezektoskop ile TUR-P uygulanması planlandı. Tüm olgulara spinal anestezi uygulandı. .Operasyon süresince 5 dakika arayla kan basıncı, kalp atım hızı ve solunum sayıları izlendi. Operasyon öncesi, operasyonun 30. dk'sında, operasyon bittikten 1 ve ' 24 saat sonra; serum Na+, K+, Cl', hemoglobin ve hematokrit düzeyleri ' ölçüldü. Üretral kataterizasyon ve hastanede kalma süreleri kaydedildi. Grup M'deki olgularda kontrol değerine göre 25. ve 3O.dk'larda kari basıncında, belirgin düşmeler olduğu gözlendi. (p

Anahtar Kelimeler

• Spinal anestezi, Bipolar rezektoskop, Monopolarrezektoskop, Osmolalite, Hemodinami

Kaynakça

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