During Hysteroscopy what is the ideal fluid pressure?
| Discussion in 'All Categories' started by Dr Ruchika Tangri - Jun 6th, 2016 1:42 pm. | |
Dr Ruchika Tangri
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Dear Sir, Hysteroscopy if I am performing with liquid media at a sufficient high pressure, usually Ideally what pressuire should I use, Is it essential that intracavitary pressure should just equal mean arterial pressure to stop bleeding. ... In the case of hysteroscopy, fluid can pass through the tubes if very high pressure is used, Please advice? |
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re: During Hysteroscopy what is the ideal fluid pressure?
by Dr R K Mishra -
Jun 19th, 2016
1:47 am
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Dr R K Mishra
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Dear Dr Ruchika Tangri The uterine endometrial cavity is a virtual space that is only visible once distended in pathological situations. In normal healthy uterus under normal circumstances the uterine walls are in close opposition to one another like a collapse airdome. During hysteroscopy to achieve panoramic view of the uterus, the walls must be forcibly separated. In the multiparous uterus thick muscle of uterine walls requires a minimum pressure of 40 mm Hg to distend the cavity sufficiently to see with a hysteroscope. In Nulliparous uterus minimum pressure required to visualize the uterine cavity in 75 mmHg. In any circumstances pressure of distending media in hysteroscopy should not go beyond 150mm Hg. The detection of excess absorption requires accurate measurement of both media infused into the endometrial cavity and that removed or otherwise returned from the uterus, including all sources Wrong pressure can create fluid overload, embolism and rarely vasovagal shock. The incidence of fluid overload associated with operative hysteroscopy has been estimated to be about 0.1% to 0.2%. Dr R K Mishra |
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re: During Hysteroscopy what is the ideal fluid pressure?
by Dr Hamina -
Sep 9th, 2016
11:20 am
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Dr Hamina
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If I use versascope with versapoint can I use Dextose 5% in hysteroscopy? |
