Difference between revisions of "Hysteroscopy"
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = | | anesthesia_type = General, neuraxial, or local | ||
| airway = Noninvasive O2 if neuraxial or local | |||
LMA/ETT if GA | |||
| airway = | | lines_access = PIV | ||
| monitors = Standard | |||
| lines_access = PIV | |||
| monitors = | |||
| considerations_preoperative = If procedure is being done for uterine bleeding, consider hypovolemia and anemia | | considerations_preoperative = If procedure is being done for uterine bleeding, consider hypovolemia and anemia | ||
| considerations_intraoperative = | | considerations_intraoperative = | ||
| considerations_postoperative = PONV | | considerations_postoperative = PONV | ||
}} | }} | ||
| Line 99: | Line 96: | ||
* 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). --> == | ||
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[[Category:Surgical procedures]] | [[Category:Surgical procedures]] | ||
[[Category:Obstetric and gynecologic surgery]] | |||
Latest revision as of 23:37, 4 April 2022
Hysteroscopy
| Anesthesia type |
General, neuraxial, or local |
|---|---|
| Airway |
Noninvasive O2 if neuraxial or local LMA/ETT if GA |
| Lines and access |
PIV |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative |
If procedure is being done for uterine bleeding, consider hypovolemia and anemia |
| Intraoperative | |
| 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