Difference between revisions of "Transurethral resection of bladder tumor"
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Revision as of 17:44, 23 May 2021
Transurethral resection of bladder tumor
| Anesthesia type |
GA or Neuraxial |
|---|---|
| Airway |
ETT/LMA (if GA) |
| Lines and access |
PIV x 1 |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
A transurethral resection of bladder tumor (TURBT) is an endoscopic procedure used to diagnose, stage, and treat early tumors of the bladder. A resectoscope is passed into the bladder via the urethra and used to remove visible tumor.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
- Lithotomy
Maintenance and surgical considerations
- Stimulation of the obturator nerve during resectoscope passage into the urethra can cause a significant reflect, even while under GA. To avoid this reflex, muscle relaxation is often used. However, studies[1] have shown that TIVA with LMA is a safe, reliable, and controllable method for maintenance of anesthesia with blunting of the obturator reflex.
Emergence
Postoperative management
Disposition
- PACU
Pain management
Potential complications
- Bladder perforation (most serious complication)
- Urethral rupture or false passage
- Bleeding
- Reabsorption
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
- ↑ "Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladder tumor". Journal of Medical Colleges of PLA. 22 (4): 234–237. 2007-08-01. doi:10.1016/S1000-1948(07)60047-1. ISSN 1000-1948.
Top contributors: Barrett Larson, Chris Rishel and Tony Wang