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Table 1 Severity score checklist

From: Prediction of clinical manifestations of transurethral resection syndrome by preoperative ultrasonographic estimation of prostate weight

 

Severity score

 

1

2

3

Circulatory

  Chest pain

Duration < 5 min

Duration > 5 min

Repeated attacks

  Bradycardia

HR decrease 10–20 bpm

HR decrease > 20 bpm

Repeated decreases

  Hypertension

SAP up 10–20 mmHg

SAP up > 30 mmHg

Score (2) for 15 min

  Hypotension

SAP down 30–50 mmHg

SAP down > 50 mmHg

Repeated drops > 50 mmHg

  Poor urine output

Diuretics needed

Repeated use

Diuretics ineffective

Neurological

  Blurred vision

Duration < 10 min

Duration > 10 min

Transient blindness

  Nausea

Duration < 5 min

Duration 5–120 min

Intense or > 120 min

  Vomiting

Single instance

Repeatedly, < 60 min

Repeatedly, > 60 min

  Uneasiness

Slight

Moderate

Intense

  Confusion

Duration < 5 min

Duration 5–60 min

Duration > 60 min

  Tiredness

Patient says so

Objectively exhausted

Exhausted for > 120 min

  Consciousness

Mildly depressed

Somnolent < 60 min

Needs ventilator

  Headache

Mild

Severe < 60 min

Severe > 60 min

  1. A checklist used to define and score the clinical manifestations of TUR syndrome [2].
  2. HR, heart rate; SAP, systolic arterial pressure.