Research Article
Volume 9 Issue 7 - 2022
To Compare the Effects of Perioperative IV Ringer Lactate and Balanced Salt Solution on Post Operative Serum Electrolytes in Turp Surgeries Using Glycine 1.5% as an Irrigating Fluid
Simar Anand1*, Jatin Bedi2 and Babita Ramdev3
1Senior Resident, Department of Anaesthesia, MMIMSR, MMDU, Mullana, Ambala, Haryana, India
2Senior Resident, Department of General Surgery, MMIMSR, MMDU, Mullana, Ambala, Haryana, India
3Professor, Department of Anaesthesia, MMIMSR, MMDU, Mullana, Ambala, Haryana, India
*Corresponding Author: Simar Anand, Senior Resident, Department of Anaesthesia, MMIMSR, MMDU, Mullana, Ambala, Haryana, India.
Received: May 26, 2022; Published: June 27, 2022




Abstract

Background: The TURP technique is a surgical operation that is used to address urinary issues caused by an enlarged prostate. The obstructive prostatic tissue is removed in this procedure, leaving the surgical capsule intact. Through a resectoscope, a metallic wire loop that is electrically heated is used to cut the prostatic tissue and coagulate blood arteries. During TURP surgery mild to severe organ dysfunction can occur due to various factors like excessive absorption of irrigating fluid, bladder perforation or excessive intra operative fluid administration. Hence due to these factors peri-operative fluid management is imperative.

Objectives: To compare the effects i/v Ringer lactate and i/v Balanced salt solution on post-operative serum electrolytes in TURP surgeries and also to observe the hemodynamic response change intra operatively.

Study Design: Randomized prospective study

Material and Methods: In present study 100 patients were taken randomly and equally divided into two groups group I - i/v RL and group II - i/v BSS. Central neuraxial block was performed aseptically using Quincke’s needle 25G with Bupivacaine (H) 0.5% drug 3 ml injected at L2-3 or L3-4 intervertebral disc space in sitting posture producing satisfactory analgesia to dermatome level up to T10. The TURP procedure was started with warm 1.5 percent glycine irrigation fluid, keeping the irrigation fluid column at a height of 60 cm, with the patients in lithotomy position. Intra operative vitals were monitored closely. The serum levels of sodium, potassium and chloride were also measured after 1 hr. post- operatively. The values of pre and post-operative serum sodium, potassium and chloride levels were compared and significance of the difference in their values were assessed.

Results: The study participants of age group of 40 - 70 years of ASA grade I and II were comparable in both the groups. Between the two groups, there was no significant difference in HR, SBP, DBP, or MAP. There was decrease in serum sodium, potassium and chloride level observed one hour post- operatively as compared to baseline in both the groups but there was no significant difference between the two groups.

Conclusion: Hence we conclude that both i/v RL and i/v BSS can be used as intravenous fluid perioperatively in TURP surgeries using glycine 1.5% as an irrigating fluid as both have no significant effect on serum electrolytes.

 

Keywords: SBP (Systolic Blood Pressure); DBP (Diastolic Blood Pressure); MAP (Mean Arterial Pressure); TURP (Transurethral Resection of Prostate)

References

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Citation: Simar Anand., et al. “To Compare the Effects of Perioperative IV Ringer Lactate and Balanced Salt Solution on Post Operative Serum Electrolytes in Turp Surgeries Using Glycine 1.5% as an Irrigating Fluid”. EC Gastroenterology and Digestive System 9.7 (2022): 37-45.

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