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Caso 4

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Masculino de 70 años con hipertrofia benigna de próstata e ingresó a quirófano para realiza RTUP
y se decidió anestesia epidural con ropivacaína 150 mg. La bolsa de irrigación estuvo a 45 cm del
nivel de la próstata; a los 90 minutos de iniciado el procedimiento quirúrgico utilizando glicina al 1.5%
como liquido de irrigación, el paciente presenta inquietud, desorientación, visión borrosa con
pupilas dilatadas, diaforesis, piel fría y pálida , electrocardiografía sin cambios, se solicitó una
gasometría arterial y reportó hiponatremia de 125meq.

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