Difference between revisions of "Hysteroscopy"

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	In development
User likes	0

VisualWikitext

Latest revision as of 00:37, 5 April 2022

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

@@ Line 1: / Line 1: @@
-.
+{{Infobox surgical procedure
+| anesthesia_type = General, neuraxial, or local
+| airway = Noninvasive O2 if neuraxial or local
+LMA/ETT if GA
+| lines_access = PIV
+| monitors = Standard
+| considerations_preoperative = If procedure is being done for uterine bleeding, consider hypovolemia and anemia
+| considerations_intraoperative =
+| considerations_postoperative = PONV
+}}
+'''Hysteroscopy''' is used to diagnose or treat problems of the uterus.
+== Overview ==
+=== Indications ===
+=== Surgical procedure ===
+== Preoperative management ==
+=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
+{| class="wikitable"
+|+
+!System
+!Considerations
+|-
+|Airway
+|
+|-
+|Neurologic
+|
+|-
+|Cardiovascular
+|
+|-
+|Pulmonary
+|
+|-
+|Gastrointestinal
+|
+|-
+|Hematologic
+|
+|-
+|Renal
+|
+|-
+|Endocrine
+|
+|-
+|Other
+|
+|}
+=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
+* Hgb/Hct if bleeding
+* Pregnancy test (if indicated)
+=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
+=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
+=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
+* A T10 sensory level is sufficient
+* Spinal
+* Epidural
+* Combined spinal/epidural (CSE)
+== Intraoperative management ==
+=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
+=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
+=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
+=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
+* When cervix is grasped and dilated, patient may have excessive vagal nerve stimulation
+=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===
+== Postoperative management ==
+=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===
+=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
+=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===
+* 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<!-- 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). --> ==
+{| class="wikitable wikitable-horizontal-scroll"
+|+
+!
+!Variant 1
+!Variant 2
+|-
+|Unique considerations
+|
+|
+|-
+|Position
+|
+|
+|-
+|Surgical time
+|
+|
+|-
+|EBL
+|
+|
+|-
+|Postoperative disposition
+|
+|
+|-
+|Pain management
+|
+|
+|-
+|Potential complications
+|
+|
+|}
+== References ==
+[[Category:Surgical procedures]]
+[[Category:Obstetric and gynecologic surgery]]