Difference between revisions of "Hysteroscopy"
From WikiAnesthesia
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = Local | | anesthesia_type = Local | ||
Neuraxial | |||
MAC | |||
GA | GA | ||
| airway = Local: Non-invasive O2 | | airway = Local: Non-invasive O2 | ||
| Line 99: | Line 100: | ||
* Fluid overload | * Fluid overload | ||
** Can occur with the use of low-viscosity dissension media | ** Can occur with the use of low-viscosity dissension media | ||
*Infection | |||
*Bleeding | |||
== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> == | == Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> == | ||
Revision as of 16:55, 4 April 2022
Hysteroscopy
| Anesthesia type |
Local Neuraxial MAC GA |
|---|---|
| Airway |
Local: Non-invasive O2 Regional: Non-invasie O2 GA: LMA or ETT |
| Lines and access |
PIV x 1 |
| Monitors |
Std ASA |
| Primary anesthetic considerations | |
| Preoperative |
If procedure is being done for uterine bleeding, consider hypovolemia and anemia |
| Intraoperative |
Standard induction |
| Postoperative |
PONV |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Hysteroscopy is used to diagnose or treat problems of the uterus.
Overview
Indications
Surgical procedure
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
- Hgb/Hct if bleeding
- Pregnancy test (if indicated)
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
- A T10 sensory level is sufficient
- Spinal
- Epidural
- Combined spinal/epidural (CSE)
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
- When cervix is grasped and dilated, patient may have excessive vagal nerve stimulation
Emergence
Postoperative management
Disposition
Pain management
Potential complications
- Air embolism
- Can occur with the use of gas dissension medium, although low-viscosity fluids are more commonly used today
- Fluid overload
- Can occur with the use of low-viscosity dissension media
- Infection
- Bleeding
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Barrett Larson, Chris Rishel and Tony Wang