TURP Syndrome: A Case Report

Abstract

TURP Syndrome: A Case Report

Siriprapa            Singhapreecha   MD

Department of Anesthesiology, BMA Medical College and Vajira Hospital

A 74-year-old man came to the hospital because of urinary retention. The diagnosis was benign prostatic hypertrophy and transurethral resection of the prostate (TURP) was done under spinal anesthesia. After 30 minutes of surgery, he became restless and agitated. The ECG showed bradycardia and suddenly turned to asystole. Cardiopulmonary resuscitation was begun immediately by anesthesia team. TUPR syndrome was suspected and the line of management was performed as appropriate. He was admitted to intensive care unit and the cardiopulmonary system was supported by positive pressure ventilation and inotropes. He was able to be discharged home ten days later without complication.

Key words: TURP syndrome, spinal anesthesia, cardiopulmonary resuscitation

Vajira Med J 2002 ; 46 : 249 - 253