Reliability of fluid monitoring during operative hysteroscopy

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• 作者：Ilias Nikolopoulos ; Graham Phillips
• 关键词：Fluid balance ; Overload ; Operative hysteroscopy
• 刊名：Gynecological Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：13
• 期：1
• 页码：23-26
• 全文大小：215 KB
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• 作者单位：Ilias Nikolopoulos (1)
  Graham Phillips (1)
  
  1. Gynaecology Department, James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK
  
• 刊物主题：Gynecology; Minimally Invasive Surgery; Surgical Oncology; Obstetrics/Perinatology; Reproductive Medicine; Interventional Radiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1613-2084

文摘

The purpose of this study is to evaluate the reliability of volume-based fluid balance monitoring in operative hysteroscopy. The actual volume of twenty 3-litre Glycine 1.5 % bags was measured by weighing the contents of each bag and by converting the weight into volume knowing the specific gravity of Glycine 1.5 %. The volume of the SerresOY suction canisters that represents the output volume was measured using a calibrated 1000-ml beaker. The volume in the 3-litre Glycine 1.5 % bags ranged from a minimum 3105 ml to a maximum of 3124 ml with a mean volume of 3115.3 ml. The actual volume of fluid in the SerresOY suction canisters containing the plastic liner when the reading is 500 ml was 425 ml, at 1000 ml, it was 900 ml, and at 2000 ml, it was 1850 ml. Therefore, a measured 3-litre outflow would have an actual volume of 2750 ml. It is concluded that volume-based fluid monitoring is not a reliable method in operative hysteroscopy. Therefore, weight-based fluid management systems should be used to ensure patient safety and prevent fluid overload.