Document Detail

Preventing intravasation in women undergoing hysteroscopic procedures.
MedLine Citation:
PMID:  8922218     Owner:  NLM     Status:  MEDLINE    
Hysteroscopic procedures, which are an alternative to hysterectomy for surgical treatment of menorrhagia and uterine fibroids, place women at risk for intravasation of uterine distention fluid. Intravasation can produce fluid overload, pulmonary edema, congestive heart failure, and electrolyte imbalances. To examine risk factors for and evaluate nursing interventions to decrease the incidence of intravasation, the researchers compared mean arterial pressures (MAPs) and intrauterine pressures (IUPs) in two groups of women undergoing elective outpatient hysteroscopic procedures. The experimental group consisted of 20 women in whom fluid infusion pump pressures were maintained below the women's MAPs. The control group consisted of 20 women whose fluid infusion pump pressures were set at random. Distention fluid deficits and the total infused distention fluid volume differed significantly between the two groups, supporting the study hypothesis that maintaining equilibrium between women's IUPs and MAPs decreases the risk of uterine distention fluid absorption into the vasculature and fluid overload complications. Perioperative nurses need to monitor women's MAPs before and during hysteroscopic procedures and maintain fluid infusion pump pressures at or below women's MAPs to decrease the potential for intravasation.
K L Bennett; C Ohrmundt; J A Maloni
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  64     ISSN:  0001-2092     ISO Abbreviation:  AORN J     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-01-23     Completed Date:  1997-01-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  792-9     Citation Subset:  IM; N    
University of Wisconsin Hospital and Clinics, Madison, USA.
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MeSH Terms
Blood Pressure*
Evaluation Studies as Topic
Extravasation of Diagnostic and Therapeutic Materials / prevention & control*
Glycine / administration & dosage,  pharmacokinetics
Hysteroscopy / adverse effects,  nursing*,  standards*
Infusion Pumps / standards
Middle Aged
Monitoring, Physiologic / nursing
Perioperative Nursing* / standards
Retrospective Studies
Risk Factors
Uterine Hemorrhage / physiopathology,  therapy*
Uterus / metabolism*,  physiopathology*
Reg. No./Substance:
0/Solutions; 56-40-6/Glycine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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