Prevention of the TURP syndrome by using the Swan-Ganz catheter in a patient with severe aortic stenosis
Toft, P.; Knudsen, F.
Ugeskrift for Laeger 153(49): 3487-3488
1991
ISSN/ISBN: 0041-5782 PMID: 1776185 Document Number: 383998
A patient with a severe valvular aortic stenosis, who required transurethral resection of the prostate, was monitored with a Swan-Ganz catheter. Overloading of the patient due to absorption of irrigating fluid was quickly reflected by elevation of pulmonary artery pressure PAP and pulmonary capillary wedge pressure PCWP, while the central venous pressure CVP was unchanged. Monitoring of PAP and PCWP may prevent the development of the TURP-syndrome in patients with compromised left sided cardiac function.