TURP Syndrome

A 66 yo male s/p TURP is combative and incoherent in the PACU.

• What is your differential diagnosis?
• What is your diagnostic plan?
• What is your treatment

References: (note, all residents should have access to Anesthesiology articles online if they receive the journal.  Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)

1. Gravenstein D.  Transurethral resection of the prostate (TURP) syndrome:  A review of hte pathophysiology and management.  Anesth Analg.  1997;84:438-446