Difference between revisions of "Hysteroscopy"
From WikiAnesthesia
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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 | |||
| lines_access = PIV | |||
| airway = | | 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 143: | Line 139: | ||
[[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