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Estimation of Fluid Absorption by Using the Area under the Curve for Ethanol in Expired Air

 

作者: Robert G. Hahn,  

 

期刊: Urologia Internationalis  (Karger Available online 1997)
卷期: Volume 58, issue 1  

页码: 25-29

 

ISSN:0042-1138

 

年代: 1997

 

DOI:10.1159/000282940

 

出版商: S. Karger AG

 

关键词: Alcohol;ethyl;Pharmacokinetics;ethanol;Irrigation;complications;Transurethral prostatectomy

 

数据来源: Karger

 

摘要:

The use of irrigating fluid containing a small amount of ethanol allows fluid absorption to be monitored by means of expired-breath tests during transurethral resection of the prostate (TURP). There is, however, no consensus concerning how the breath ethanol data should be converted into the volume of irrigant absorbed. The present study examines the use of the product of concentration and time (area under the curve) to predict how much fluid is absorbed. Intermittent infusions of ethanol in 5 volunteers showed that the relationship between area under the curve and ethanol load was best described by a polynomial expression. This was also applicable to the uptake of small volumes of irrigating fluid during 16 TURPs. When patients with large-sized absorption ( > 1,000 ml) were also considered, however, the precision was better when the absorbed volume was predicted by a multiple linear regression formula where the ethanol level in the exhaled breath at the end of any 10-min period during TURP and the time during which ethanol had been detected served as independent factors.

 

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