Massive saline absorption during holmium laser excision of prostate manifesting with parotid area sign

Sheetal Y Chiplonkar, Pratibha V Toal, Adit J Palsania

Astrocyte 2016 3(3):168-170

While conducting a Holmium Laser Excision of Prostate (HoLEP), it is a standard practice to use normal saline as an irrigation solution. Usually, the amount of saline absorbed systemically during HoLEP ranges between 200 and 900 mL. However, rarely this amount can become excessive and lead to toxicity. Currently, two methods are used to measure the quantity of normal saline absorbed during a HoLEP – a volumetric fluid balance method and ethanol tagging of saline. These methods, however, have certain limitations. They can possibly be supplemented by a third method – a real time “parotid area sign.” This case report highlights the significance of this clinical sign in a 67-year-old male, who while undergoing HoLEP, developed frank signs of toxicity due to massive saline absorption.

from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2lNZV4A
via IFTTT