Re: Gyn H/S Fluid Management

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Jan 30 20:36:06 2006


I think that ours is Wolf and a bit older and cumbersome for the staff, but it does the job.

Agree that you must use this for glycine.

For simple diagnostic scopes with LR, we frequently start with a bag under pressure and the eyeball system (no opening of expensive tubing, etc.) and then convert if it will be a longer procedure.

Garry

At Mon, 30 Jan 2006, Joanne Bulley, MD wrote: >
>Thanks Myer and Larry. It was my understanding that we are really an
>outlier at this point and must change .... good to have someone else
>say it for me to take back to the OR!
>
>Joanne
>
>At Mon, 30 Jan 2006, Myer S. Bornstein wrote:
>>
>>I have been using the Gynecare system since it was FemRx and it has kept me
>>out of fluid trouble. I had seen a 3 liter change in 15 minutes with the
>>eyeball system. Tell your hospital a fluid collection system is the
>>standard of care and if a patient develops hyponatremia with the way they
>>are doing it now there is BIG liability
>>Myer
>>
>>--
>>Myer S. Bornstein, MD, MMM, FACOG, FACPE
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne
>>Bulley, MD
>>Sent: Monday, January 30, 2006 3:11 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Gyn H/S Fluid Management
>>
>>Which fluid management system are you using and how do you like it?
>>
>>At this point I have not been able to get our hospital to transition
>>from having a nurse dedicated to eyeballing the glycine bags and the
>>suction cannisters for hysteroscopic resections to the self contained
>>fluid management systems.
>>
>>I have been trying to emphasize the cost of having 2 RNs in the room -
>>one is the circulator and the other is trying to keep track of the
>>fluids (usually glycine or saline).
>>
>>So I would like to find out who is using what equipment and how you like
>>it - especially if you have used more than one manufacturer's equipment.
>>
>>Joanne
>>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>"Love is indescribable and unconditional.
>I could tell you a thousand things that it is not, but not one that it is."
>— Duke Ellington, American jazz artist (1899-1974).
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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