Hysteroscopy

Hysteroscopy

Anesthesia type	Local Regional 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	In development
User likes	0

Hysteroscopy is used to diagnose or treat problems of the uterus.

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)

Regional and neuraxial techniques

• A T10 sensory level is sufficient
• Spinal
• Epidural
• Combined spinal/epidural (CSE)

Intraoperative management

Maintenance and surgical considerations

• When cervix is grasped and dilated, patient may have excessive vagal nerve stimulation

Postoperative 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

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications