Different Resectoscopes Effects to Optic Nerve Sheath Diameter

Bursa Yüksek İhtisas Education and Research Hospital

Status: Completed

Conditions: Optic Nerve Sheath Diameter

Treatments: Procedure: Effect of different resectoscope fluids on optic nerve diameter measured by ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT04765397

Bursa Yüksek Ihtisas EAH

Details and patient eligibility

About

In this study, in patients with benign prostatic hypertrophy, monopolar and transurethral prostate using bipolar techniques in resection; serum electrolytes in the perioperative period, osmolarity can occur in hemodynamic parameters the effect of changes on optic nerve diameter by ultrasonography.

Full description

This study is for TURP operation for Benign Prostate Hypertrophy patients. When patient comes to the operating room, routine preparations will be made. Haemodynamic parameters and over-the-eye with Optic nerve diameter will be checked with ultrasound before and 10 minutes after spinal anesthesia. Monopolar for patients according to the preference of the surgical team resectoscope technique or bipolar resectoscope technique will be applied. During the operation Blood pressure, pulse minute the number of irrigation solutions used and the amount of intravenously administered serum, operation time will be saved. Optic nerve sheath diameter after the operation would be checked again. intraoperative and postoperative complications in the waking room (respiratory distress, hypotension, hypertension, bradycardia, tachycardia, vomiting, headache, restlessness, seizure, arrhythmia, vision disorder) will be recorded.

Enrollment: 80 patients

Sex: All

Ages: 50 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Ages 50-80
• ASA I-II
• Planned TUR-P operation

Exclusion criteria

• Heart or respiratory failure
• Koagülation diathesis
• Eyedisease related patients

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

Group M

Active Comparator group

Description:

Patients are in this group with monopolar technique according to the resectoscope technique used by the surgeon.Demographic data of the patients, mean arterial pressure (MAP), pulse minute number (NDS), peripheral oxygen saturation (SpO2), irrigation and intravenous fluid amounts, operation times, serum electrolytes (Na +, K +) and hemoglobin levels were analyzed and recorded.

Treatment:

Procedure: Effect of different resectoscope fluids on optic nerve diameter measured by ultrasound

Group B

Active Comparator group

Description:

Patients are in this group with bipolar technique according to the resectoscope technique used by the surgeon.Demographic data of the patients, mean arterial pressure (MAP), pulse minute number (NDS), peripheral oxygen saturation (SpO2), irrigation and intravenous fluid amounts, operation times, serum electrolytes (Na +, K +) and hemoglobin levels were analyzed and recorded.

Treatment:

Procedure: Effect of different resectoscope fluids on optic nerve diameter measured by ultrasound