Hysteroscopy
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Revision as of 23:37, 4 April 2022 by Chris Rishel (talk | contribs)
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