Non‐Cardiogenic Pulmonary Oedema. A Serious Complication of Transurethral Prostatectomy. A Case Report

Abstract
A man undergoing prostatectomy under epidural analgesia developed clinical signs of a severe TURP (transurethral prostatic resection) syndrome. During resuscitation it was revealed that serum Na was only moderately decreased. Plasma oncotic pressure was markedly decreased and the pressure gradient between plasma oncotic pressure and pulmonary capillary wedge pressure (approximately hydrostatic pressure) was 1 mm/Hg (0.13 kPa [kilopascal]), allowing almost free filtration of fluid through the pulmonary capillary wall and resulting in a non-cardiogenic pulmonary edema. The patient was successfully resuscitated with albumin and inotropic stimulation with prenalterol.

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