Anaes Vivas · General surgery anaesthesia
TURP/TURM and major gynaecological anaesthesia: TURP syndrome and shared themes — viva
Structured oral examination station for turm-general-gynae-anaesthesia, held to review-exact absorption scope.
On this page
Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Spinal TURP 70 min: restless, Na 118, BP 90/50, SpO2 92%.
Opening
State the one-line answer first: hypotonic irrigant absorption through open prostatic venous sinuses — stop irrigation and surgery, support ABC, hypertonic saline for severe symptomatic hyponatraemia (hypertonic-over-diuretic [4]).
[4]References5ShowHide
- [4]Hahn RG Fluid absorption in endoscopic surgery. Br J Anaesth, 2006.PMID 16317031
- [5]Eraky AM, Rubenstein SC, Khan A, et al. Non-Surgical Bleeding and Transurethral Resection of the Prostate (TURP) Syndrome after TURP Surgery: A Case Report and Literature Review. Pathophysiology, 2024.PMID 39051224
- [6]Umranikar S, Clark TJ, Saridogan E, et al. BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy. Gynecol Surg, 2016.PMID 28003797
- [7]Grant I, Brovman EY, Kang D, et al. A medicolegal analysis of positioning-related perioperative peripheral nerve injuries occurring between 1996 and 2015. J Clin Anesth, 2019.PMID 31128482
- [8]Sethi N, Chaturvedi R, Kumar K Operative hysteroscopy intravascular absorption syndrome: a bolt from the blue. Indian J Anaesth, 2012.PMID 22701213