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  • Title: Pulmonary edema in the transurethral resection syndrome induced with mannitol 5%.
    Author: Wang JH, He Q, Liu YL, Hahn RG.
    Journal: Acta Anaesthesiol Scand; 2009 Sep; 53(8):1094-6. PubMed ID: 19397498.
    Abstract:
    Two patients developed the transurethral resection (TUR) syndrome after having absorbed mannitol 5% during TUR of the prostate. Both developed pulmonary edema and became severely hypoatremic (lowest serum sodium 99 and 97 mmol/l, respectively). Hypertonic saline was infused to raise the serum sodium level and plasma volume expansion used to combat hypotension. One patient also required positive-pressure ventilation and intravenous administration of norepinephrine. Both patients recovered completely.
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