Notes in 32 Anesthesia for Genitourinary Surgery

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Published 12/13/2023 The lithotomy position {{c1::decreases}} the functional residual capacity.
Published 12/13/2023 Immediately after lowering the legs from the lithotomy position, you should measure the {{c1::blood pressure}}.
Published 12/13/2023 The suggested block height for TURP/cystoscopy is {{c1::T10}}. 
Published 12/13/2023 TURP syndrome is a constellation of symptoms associated with the absorption of {{c1::large amounts of fluid}}.
Published 12/13/2023 {{c1::Electrolyte}} solutions cannot be used for irrigation during {{c2::mono}}polar TURP because they disperse the electrocautery current. 
Published 12/13/2023 TURP procedures should be kept to < {{c1::1}} hour(s) in order to minimize the amount of fluid absorbed in open venous sinuses. 
Published 12/13/2023 Absorption of hypotonic irrigation fluids during TURP can lead to acute {{c1::hyponatremia}}. 
Published 12/13/2023 Degradation of {{c2::glycine}} from irrigation can cause associated {{c3::hyperammonemia}}, which manifests as {{c1::visual loss}}. 
Published 12/13/2023 Management of patients with mild TURP syndrome is {{c1::fluid restriction}} and {{c1::furosemide}}. 
Published 12/13/2023 Bipolar TURP will not result in TURP syndrome because it can use {{c1::isotonic saline}} irrigation.
Published 12/13/2023 An early sign of bladder perforation during irrigation is a {{c1::decreased return of irrigation fluid}}. 
Published 12/13/2023 {{c1::Regional}} anesthesia is preferred for TURP because it allows for monitoring of {{c2::neurologic}} status. 
Published 12/13/2023 Fragmentation of kidney stones can be done with {{c1::extrocorporeal shock wave lithotripsy (ESWL)}}.  
Published 12/13/2023 In ESWL, shock waves should be synchronized with the {{c1::R wave (EKG)}} to reduce the incidence of arrhythmias. 
Published 12/13/2023 Shock waves in ESWL may damage {{c1::ICDs}}, so it is important to get a consultation for device management. 
Published 12/13/2023 Transurethral resection of bladder tumors can stimulate the {{c1::obturator}} nerve.
Published 12/13/2023 Patients receiving {{c1::bleomycin}} are at high risk for {{c2::oxygen toxicity}} and {{c3::fluid overload}}. 
Published 12/13/2023 The preferred solution for TURP is {{c1::glycine 1.5%}}. 
Published 12/13/2023 Patients with seizures from TURP syndrome can be treated with {{c1::benzodiazepines}} or {{c1::magnesium}}. 
Published 12/13/2023 What serial labs should be drawn when managing TURP syndrome?{{c1::Na+ }}
Published 12/13/2023 What type of complication is suggested by generalized abdominal or shoulder pain during a TURP?{{c1::Bladder perforation}}
Published 12/13/2023 During a TURP, blood loss can be estimated at {{c1::2}}-{{c1::4}} mL/min of resection time. 
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