Ethanol monitoring of irrigating fluid absorption in transurethral prostatic surgery. 1988

R G Hahn
Department of Anesthesiology, Huddinge University Hospital, Sweden.

The ethanol concentration in expired breath (EB-ethanol(A] was repeatedly measured in 50 patients undergoing transurethral prostatic surgery in which the irrigating fluid was 1.5% glycine + 2% ethanol in water. EB-ethanol(A) was compared at 10-min intervals to the serum sodium concentration, the serum glycine concentration, and the absorbed volume of irrigant. The EB-ethanol(A) was found to be related directly to the serum glycine concentration (R2 = 0.75) and, inversely, to changes in the serum sodium concentration (R2 = 0.81). The cumulative absorbed volume of irrigant could be predicted from a single EB-ethanol(A) reading at the end of each 10-min interval (R2 = 0.82); the reliability was improved by taking into account the absorption time (R2 = 0.89). Extravasation of irrigating fluid was indicated by a stable or increasing EB-ethanol(A) after the ethanol-tagged irrigant had been discontinued. Ethanol monitoring is a simple and inexpensive method of testing for the presence, and measuring the degree, of irrigant absorption in transurethral prostatic surgery.

UI MeSH Term Description Entries
D007507 Therapeutic Irrigation The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis. Douching,Lavage,Douchings,Irrigation, Therapeutic,Irrigations, Therapeutic,Lavages,Therapeutic Irrigations
D008297 Male Males
D008991 Monitoring, Physiologic The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine. Patient Monitoring,Monitoring, Physiological,Physiologic Monitoring,Monitoring, Patient,Physiological Monitoring
D011468 Prostatectomy Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE). Prostatectomy, Retropubic,Prostatectomy, Suprapubic,Prostatectomies,Prostatectomies, Retropubic,Prostatectomies, Suprapubic,Retropubic Prostatectomies,Retropubic Prostatectomy,Suprapubic Prostatectomies,Suprapubic Prostatectomy
D001944 Breath Tests Any tests done on exhaled air. Breathalyzer Tests,Breath Test,Breathalyzer Test,Test, Breath,Test, Breathalyzer,Tests, Breath,Tests, Breathalyzer
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000042 Absorption The physical or physiological processes by which substances, tissue, cells, etc. take up or take in other substances or energy.
D000431 Ethanol A clear, colorless liquid rapidly absorbed from the gastrointestinal tract and distributed throughout the body. It has bactericidal activity and is used often as a topical disinfectant. It is widely used as a solvent and preservative in pharmaceutical preparations as well as serving as the primary ingredient in ALCOHOLIC BEVERAGES. Alcohol, Ethyl,Absolute Alcohol,Grain Alcohol,Alcohol, Absolute,Alcohol, Grain,Ethyl Alcohol

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