Cardiovascular Collapse During Transurethral Resection of Bladder Tumor: A Case Report

Nicole A.Gonzaga Gomez, Greta Mitzova-Vladinov, Ramniwas Yadav, Amanda Lackaye, Michael Fabbro

Research output: Contribution to journalArticle

Abstract

Despite innovative modalities, transurethral resection (TUR) procedures are the primary surgical intervention for bladder tumor and enlarged prostate. TUR syndrome, a major complication of TUR procedures, leads to derangement in electrolytes, hemodynamic compromise, and possible cardiac arrest. This case report describes cardiovascular collapse in a 60-year-old male during TUR of a bladder tumor under general anesthesia. The patient developed hypoxia, which progressed to cardiovascular collapse. Electrolyte analysis revealed acute hyponatremia. The patient was resuscitated successfully, transferred to intensive care unit, and discharged from the hospital without any complications. This case report of a cardiovascular collapse during transurethral resection of bladder tumor offers insight of the risks in urologic procedures and highlights the importance of clear communication as well as early recognition and successful management of complications.

Original languageEnglish (US)
JournalJournal of Perianesthesia Nursing
DOIs
StateAccepted/In press - 2020

Keywords

  • cardiovascular collapse
  • hyponatremia
  • intraoperative communication
  • TUR syndrome

ASJC Scopus subject areas

  • Medical–Surgical

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