Transurethral Resection of Prostate
Conditions
Keywords
Lung Ultrasonography score (LUS), extravascular lung water (EVLW), Transurethral resection of the prostate (TURP)
Brief summary
Lung Ultrasonography score (LUS) using B-lines is a noninvasive, reliable and promising method for determining the extravascular lung water (EVLW). This was previously evaluated by trans-pulmonary thermodilution technique. The transurethral resection of the prostate syndrome (TURP-S) is a potentially life-threatening complication of the TURP surgery and timely diagnosis of TURP-S is crucial for rapid detection and optimized treatment. This observational study is designed to investigate the use of LUS using B-lines as a bed-side, simple, and non-invasive indicator for predication of the presence of systemic volume overload in patients undergoing endoscopic TURP.
Interventions
DEVICEUltrasound
LUS using B-lines Caval-Aorta index using ultrasound
Sponsors
Kasr El Aini Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
60 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥ 60 years. * American Society of Anesthesiologists Classification (ASA ) I, II, and III. * Full conscious patients.
Exclusion criteria
* Patient refusal. * Who known allergic or hypersensitivity to any drug used in the study (local anesthesia). * Coagulopathy (history of bleeding disorders), or patients on anticoagulant drugs, with (platelets \<50,000 International Normalised Ratio( INR)\>1.5). * Patients have renal dysfunction patients with creatinine ≥ 2. * Patients have uncontrolled cardiac diseases (IHD, (congestive heart failure (CHF), pulmonary hypertension and valvular diseases). * Abdominal ascites. * Patients with local infection at the site of local anesthetic injection. * Failed spinal anesthesia. * Timing not exceed 90 min. * Any patient with lung ultrasound examination at T 0 ≥ 3 B-lines will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictive ability of the LUS using B-lines for the presence of systemic volume overload in patients undergoing endoscopic TURP | From the preoperative period (T0) to 60 Minutes postoperative (T PACU) | using ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Predictive ability of the Caval-Aorta index as predictors of systemic volume overload in patients undergoing endoscopic TURP. | From the preoperative period (T0) to 60 Minutes postoperative (T PACU) | using ultrasound |
| Correlation between the absolute value of LUS, Caval-Aorta index . | From the preoperative period (T0) to 60 Minutes postoperative (T PACU) | using ultrasound |
| Correlation between the relative changes of the LUS and Caval-Aorta index | From the preoperative period (T0) to 60 Minutes postoperative (T PACU) | using ultrasound |
Countries
Egypt
Contacts
Primary ContactDalia Saad, assi prof
Backup ContactAbeer Ahmed, professor
Outcome results
None listed