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Usefulness of Non-Invasive Cardiac Output Monitoring in Elderly Patients Undergoing Monopolar Transurethral Resection of the Prostate: A Pilot Study

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dc.contributor.author길혜금-
dc.contributor.author박진하-
dc.date.accessioned2020-06-17T00:55:44Z-
dc.date.available2020-06-17T00:55:44Z-
dc.date.issued2020-05-
dc.identifier.issn0300-0605-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/176185-
dc.description.abstractObjective: To assess the impact of irrigating fluid on hemodynamic profiles using real-time non-invasive cardiac output monitoring (NICOM) in elderly patients undergoing monopolar transurethral resection of the prostate (TURP). Methods: Twenty patients between 65 and 80 years of age who were scheduled for monopolar TURP and received spinal anesthesia up to T10 were enrolled. Irrigating fluid (2.7% sorbitol with 0.5% mannitol solution) was used. Hemodynamic profiles including cardiac index, and stroke volume variation (SVV) using NICOM were obtained. Estimated irrigating fluid absorption was indirectly calculated. Results: The median amount of irrigating fluid used was 6000 mL. The median SVV was 11%, which increased to 12% at 10 minutes after initiating surgery. No significant changes in the cardiac index were observed. The estimated absorption of irrigating fluid was almost zero. Conclusions: Although the estimated amount of irrigating fluid that was absorbed was negligible, the increase in SVV may indicate intravascular volume depletion with diuresis resulting from mannitol in the irrigating fluid early during irrigation. Therefore, even during short irrigating times, intensive hemodynamic monitoring should be performed to monitor the possibility of intravascular volume depletion as well as volume overload, especially immediately after large amounts of irrigating fluid are used.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherSage Publications-
dc.relation.isPartOfJOURNAL OF INTERNATIONAL MEDICAL RESEARCH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleUsefulness of Non-Invasive Cardiac Output Monitoring in Elderly Patients Undergoing Monopolar Transurethral Resection of the Prostate: A Pilot Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthorHae Keum Kil-
dc.contributor.googleauthorIn Kyeong Park-
dc.contributor.googleauthorMin Sup Song-
dc.contributor.googleauthorJin Ha Park-
dc.identifier.doi10.1177/0300060520922422-
dc.contributor.localIdA00283-
dc.contributor.localIdA01704-
dc.relation.journalcodeJ01462-
dc.identifier.eissn1473-2300-
dc.identifier.pmid32368951-
dc.subject.keywordHemodynamic monitoring-
dc.subject.keywordcardiac output-
dc.subject.keywordintravascular volume depletion-
dc.subject.keywordirrigating fluid absorption-
dc.subject.keywordspinal anesthesia-
dc.subject.keywordtransurethral resection of prostate-
dc.subject.keywordvolume overload-
dc.contributor.alternativeNameKil, Hae Keum-
dc.contributor.affiliatedAuthor길혜금-
dc.contributor.affiliatedAuthor박진하-
dc.citation.volume48-
dc.citation.number5-
dc.citation.startPageE300060520922422-
dc.identifier.bibliographicCitationJOURNAL OF INTERNATIONAL MEDICAL RESEARCH, Vol.48(5) : E300060520922422, 2020-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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