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{{Infobox surgical procedure
{{Infobox surgical procedure
| anesthesia_type = Local  
| anesthesia_type = Local  
Regional
Neuraxial
MAC
GA
GA
| airway = Local: Non-invasive O2
| airway = Local: Non-invasive O2
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* 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). --> ==

Revision as of 17:55, 4 April 2022

Hysteroscopy
Anesthesia type

Local Neuraxial MAC 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
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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