{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T18:33:31Z","timestamp":1765478011590,"version":"3.48.0"},"reference-count":5,"publisher":"BMJ","issue":"6497","license":[{"start":{"date-parts":[[1985,9,14]],"date-time":"1985-09-14T00:00:00Z","timestamp":495504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,9,14]]},"abstract":"<jats:p>An elderly normotensive man underwent percutaneous ultrasonic lithotripsy for renal stone disease, the procedure lasting three hours and the fragments being washed out with 20 l 1.5% glycine. After two hours the inflation pressure had risen to 25 cm H2O and his blood pressure to 150 mm Hg. Inflation pressure continued to rise until drainage tubes were inserted into the retroperitoneal space, releasing a large volume of fluid, some of which appeared to be from the peritoneal cavity. Shortly after transfer to the recovery area the patient showed signs of the transurethral resection syndrome, with hyponatraemia, hyperkalaemia, and hypertension. He was treated appropriately and survived. Low infusion pressures should be used for irrigation during lithotripsy and 0.9% saline instead of 1.5% glycine. In patients given a general anaesthetic any rise in inflation pressure suggests extravasation of fluid and warrants emergency estimation of the plasma sodium concentration.<\/jats:p>","DOI":"10.1136\/bmj.291.6497.691","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"691-692","source":"Crossref","is-referenced-by-count":19,"title":["Absorption of 1.5% glycine after percutaneous ultrasonic lithotripsy for renal stone disease."],"prefix":"10.1136","volume":"291","author":[{"given":"J F","family":"Sinclair","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Hutchison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Baraza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A B","family":"Telfer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1985,9,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0022-5347(17)69530-2","article-title":"Hemolytic reactions during transurethral prostatic resection","volume":"58","author":"CD, I.Creevy","year":"1947","unstructured":"I Creevy CD. Hemolytic reactions during transurethral prostatic resection.J Urol 1947;58:125-31.","journal-title":"J Urol"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/j.1365-2044.1985.tb10848.x","article-title":"Anaesthetic experience with percutaneous lithotripsy","volume":"40","author":"Peterson, G.N.; Kreiger, J.N.; Glauber, D.T.","year":"1985","unstructured":"Peterson GN, Kreiger JN, Glauber DT. Anaesthetic experience with percutaneous lithotripsy. Anaesthesia 1985; 40:460-4.","journal-title":"Anaesthesia"},{"key":"ref_3","first-page":"858","article-title":"Percutaneous ultrasonic lithotripsy: choice of irrigant","volume":"130","author":"Shultz, R.E.; Hanno, P.M.; Wein, A.J.; Levin, R.M.; Pollack, H.M.; Van Arsdalen, K.N.","year":"1983","unstructured":"Shultz RE, Hanno PM, Wein AJ, Levin RM, Pollack HM, Van Arsdalen KN. Percutaneous ultrasonic lithotripsy: choice of irrigant.J7 Urol 1983;130:858-60."},{"issue":"23","key":"ref_4","first-page":"802","article-title":"Complications associated with transurethral surgery","volume":"1962","author":"Marx, G.F.; Orkin, L.R.","unstructured":"Marx GF, Orkin LR. Complications associated with transurethral surgery. Anesthesiwlogy 1962;23:802-13.","journal-title":"Anesthesiwlogy"},{"author":"Accepted 2july 1985)","key":"ref_5","unstructured":"(Accepted 2july 1985)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.291.6497.691","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.291.6497.691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T18:30:04Z","timestamp":1765477804000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.291.6497.691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,9,14]]},"references-count":5,"journal-issue":{"issue":"6497","published-online":{"date-parts":[[1985,9,14]]},"published-print":{"date-parts":[[1985,9,14]]}},"alternative-id":["10.1136\/bmj.291.6497.691"],"URL":"https:\/\/doi.org\/10.1136\/bmj.291.6497.691","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"type":"print","value":"0267-0623"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1985,9,14]]}}}