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Hysteroscopy ?From: Mark Perloe (mperloe@ivf.com)Sat Aug 31 14:49:13 1996
While we are all aware of the importance of monitoring I&O during operative hysteroscopy with a liquid medium, I would like the groups opinon on whether that I & O should include IV fluid and urine output? We have been recording the total I&O, as our greatest concern was fluid overload. However, our urologists, feel that hyponatremia is a far more common problem, and they monitor only fluid going in and coming out of the resectoscope. As only the distention media is electrolyte free, it makes sense that I&O comparison would most accurately predict hyponatremia, while a total I&O would be neceesary to avoid fluid overload in the elderly patient. Any comments? Mark Perloe, MD voice 404-265-3662 WWW Homepage: http://www.ivf.com Atlanta Reproductive Health Centre, 285 Boulevard, NE, Suite 320, Atlanta, GA 30312 "I got a life, but then I had to get up and answer the phone, and it ran away." -- SFJ "No kidding. They're slippery little devils. I put mine down next to my modem one day, and I haven't seen it since." --ds
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