Monitorering af optagelse af skyllevaeske under transcervikal resection af myometriet
Engelsk titel: Monitoring of irrigating fluid absorption in transcervical resection of the myometrium
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Författare:
Rask H
;
Larsen I
;
Damgaard Eriksen N
Språk: Dan
Antal referenser: 6
Dokumenttyp:
Artikel
UI-nummer: 03041586
Sammanfattning
Introduction: Monitoring of the absorption of irrigating fluid during transcervical resection of the myometrium was stu-died. Irrigating fluid under pressure was used. Absorption can give symptoms as seen in transurethral resection syndrome. Material and methods: A method using ethanol labelled irrigation fluid measuring ethanol in expired air was used. Serum natrium and absorbed irrigation fluid estimated by weight was measured. A total of 100 women were included. The investigation was part of the daily rutine with varying anaesthetists and nurses. Results: Four patients with an absorption of more than 1200 ml were identified. The end-tidal ethanol and serum natrium deficit were equally accurate in determination of this. In absorption of less than 1200 ml, the serum natrium deficit and end-tidal ethanol were not correlated to absorbed irrigation fluid judged by weighing. Conclusion: Determination of the end-tidal ethanol during transcervical resection is recommended as a supplement. The method is non-invasive and simple and can be repeated at any time without interruption of surgery.