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Re: Gyn H/S Fluid Management From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Jan 30 21:16:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Harrison Sheld: "Preeclampsia Solved" Previous message: Garry E. Siegel, M.D.: "Re: Gyn H/S Fluid Management" In reply to: Garry E. Siegel, M.D.: "Re: Gyn H/S Fluid Management" I would definitely use the eyeball method for the short diagnostic 'scopes - but I really want this for the operative H/S. I had a patient see me with records (OR and office) from elsewhere ... there had been a fluid deficit of 9L (yes that is 9 liters) before someone said "stop" ... That was before filing a case and that one settled out of court ... She is pretty much back to her pre - surgical status according to both her and her husband. Sodium was down about 109 when she was in the PACU and then trasferred to the ICU. The OR knows that I am really really testy when the "fluid management RN" is not giving me moment by moment numbers. I just stop the procedure and get the person back on the ball. I refuse to run the fluid without the person doing his / her job! Joanne At Mon, 30 Jan 2006, Garry E. Siegel, M.D. wrote: > >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 >>> >>>-- > -- 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). Next message: Harrison Sheld: "Preeclampsia Solved" Previous message: Garry E. Siegel, M.D.: "Re: Gyn H/S Fluid Management" In reply to: Garry E. Siegel, M.D.: "Re: Gyn H/S Fluid Management"

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