Abstract:

Goal: In our study, we aimed at comparing intraoperative hemodynamic changes and QT distance changes with preoperative values in patients with transuretral prostate resection (TUR-P) under spinal anesthesia. The study will apply transurethral prostate resection to 40-65 years of ASA I-II (American Society of Anesthesiologists) in a total of 45 patients will be randomly divided into 3 groups. I. group (n=15) 0.9 % NaCl, II. The group of Yelatin. The group was given by the intravenous (IV) vein that was opened with 18 gauge intrakts in the hydrocytic niche. The average arterial pressure (OAB), peripheral oxygen saturation (SpO2), heart rate (KAH) were recorded in intervals of 5 minutes before and during the operation and after the operation. The QT interval values were recorded in 5, 15, 30, 60 minutes and after the operation. The difference between the intergroup and each group is significant when it is assessed within itself in terms of average arterial pressure (OAB), peripheral oxygen saturation (SpO2), heart rate (KAH) (p>0.05), while the difference between the preoperative values in group I and the 5.d and 10.d and postoperative measurements is significant and these values have been increased (p<0.05). The difference between preoperative and postoperative QT values in Group II has increased significantly (p<0.05). In Group III, the difference between the preoperative values, 15 dk, 20 dk, and postoperative values (p<0.05) was significant and these values were increased. 5 in Group III. The difference between the minute and the other measurements is significant (p<0.05) and these values have been increased. When the intraoperative and postoperative QT intervals are extended in patients planned for transuretral prostate resection surgery, more caution should be taken, especially in patients with coronary heart disease and with preoperative intra- or congenital extended QT intervals.

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Abstract:

OBJECTIVE: In our study we aimed to compare intraoperative hemodynamic changes and changes in QT interval with preoperative values in patients undergoing transurethral resection of the prostate (TUR-P) under spinal anesthesia. MATERIAL AND METHODS: The study comprised of 45 patients, between the ages of 40 to 65 and ASA I-II who were planned to undergo transurethral resection of the prostate. The patients were randomly divided into 3 groups. %0.9 NaCl to group I, gelatin to group II, and to group III hydroxyethyl starch were intravenously injected via using 18 gauge intravenous catheter. Hemodynamic parameters were recorded as 5-minute intervals in preoperative period and also during the operation. QT values were recorded in 5, 15, 30, 60 minutes, before, during and after the operation. RESULTS: There was no significant hemodynamic differences between the groups whereas in Group I, QT interval, between the preoperative and postoperative period were significantly different. Also we compared preoperative values and postoperative values of post-op 5min and 10min and found significant difference and increase. In Group II, preoperative and postoperative QT intervals were significantly different and the measurements are found to be increased. In Group III the difference between preoperative and postoperative 15min and 20min values were significant and the measurements are found to be increased. In Group III, there was significant difference between the values taken in 5 min and other times and the measurements are found to be increased. CONCLUSIONS: In view of prolonging on intraoperative and postoperative QT interval on patients that have TUR-P operation; more care should be taken in patients who are planned TUR-P operation, who have coronary heart disease and have pre-operative acquired or congenital prolonged QT interval.