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Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate

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A Letter to the Editor to this article was published on 05 December 2016

Abstract

Holmium laser enucleation of prostate (HoLEP) is being performed with increasing frequency as a minimally invasive alternative to transurethral resection of the prostate (TURP) for the surgical management of benign prostatic hyperplasia (BPH). HoLEP offers the advantage of use of normal saline for irrigation, instead of glycine which is utilized in TURP, decreasing the likelihood of fluid absorption and effects on serum electrolytes. We describe a patient who underwent HoLEP for BPH and subsequently developed non-ion gap metabolic acidosis and hemodilution associated with volume overload.

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Authors and Affiliations

  1. Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA

    Sarah E. Dodd, Christopher J. Jankowski & Bhargavi Gali

  2. Department of Urology, Mayo Clinic, Rochester, MN, USA

    Amy E. Krambeck

Authors
  1. Sarah E. Dodd
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  2. Christopher J. Jankowski
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  3. Amy E. Krambeck
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  4. Bhargavi Gali
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Correspondence to Bhargavi Gali.

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Dodd, S.E., Jankowski, C.J., Krambeck, A.E. et al. Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate. J Anesth 30, 1060–1062 (2016). https://doi.org/10.1007/s00540-016-2256-4

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  • DOI: https://doi.org/10.1007/s00540-016-2256-4

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