? perf at hysteroscopy
From: FRANCES WREN (fwren@shaw.ca)
Tue Aug 28 09:13:53 2007
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just in with a colleague who did an endo ablation.....
did not appear to have any problems..no evidence of perf...
however 4000 cc glycine in via hysteroscope...and only 1300 cc out in the suction.
assuming perf...
urine clear,so not there.
needle in cul de sac..just a little fluid there ,however looked distinctly like diluted stuff..versus usual intraperitoneal fluid.
Px'd with lasix and saline @150 cc hourly.....maybe should inc rate of saline to prevent the hyponatremia from electrolyte osmosis from the glycine?????
any other suggestions listers?????
--
frances wren
>----- Original Message -----
From: evsono@pipeline.com (art fougner, md)
Date: Tuesday, August 28, 2007 5:47 am
Subject: Re: anemia and neuro pt
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> "It ain't over 'til it's over."
> Lawrence Peter Berra, 1973
>
> At Mon, 27 Aug 2007, Babycatchers@aol.com wrote:
> >
> <SNIP>
> >Baby is fine. So all is well that ends well for us. I
> hope she does ok
> >now.
> >
> >Vicki Smith, CNM, MSN
> >West Virginia
> >
> >Vicki Smith, CNM, MSN
> >West Virginia
> >Midwives- changing the world one baby at a time.
> >
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
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<DIV>just in with a colleague who did an endo ablation.....</DIV>
<DIV>did not appear to have any problems..no evidence of perf...</DIV>
<DIV>however 4000 cc glycine in via hysteroscope...and only 1300 cc out in the suction.</DIV>
<DIV> </DIV>
<DIV>assuming perf...</DIV>
<DIV>urine clear,so not there.</DIV>
<DIV>needle in cul de sac..just a little fluid there ,however looked distinctly like diluted stuff..versus usual intraperitoneal fluid.</DIV>
<DIV> </DIV>
<DIV>Px'd with lasix and saline @150 cc hourly.....maybe should inc rate of saline to prevent the hyponatremia from electrolyte osmosis from the glycine?????</DIV>
<DIV> </DIV>
<DIV>any other suggestions listers?????</DIV>
<DIV> </DIV>
<DIV>frances wren <BR><BR>----- Original Message -----<BR>From: evsono@pipeline.com (art fougner, md)<BR>Date: Tuesday, August 28, 2007 5:47 am<BR>Subject: Re: anemia and neuro pt<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net><BR><BR>> "It ain't over 'til it's over."<BR>> Lawrence Peter Berra, 1973<BR>> <BR>> At Mon, 27 Aug 2007, Babycatchers@aol.com wrote:<BR>> ><BR>> <SNIP><BR>> >Baby is fine. So all is well that ends well for us. I <BR>> hope she does ok<BR>> >now.<BR>> ><BR>> >Vicki Smith, CNM, MSN<BR>> >West Virginia<BR>> ><BR>> >Vicki Smith, CNM, MSN<BR>> >West Virginia<BR>> >Midwives- changing the world one baby at a time.
Wings of Liberty Never Lose a Feather." - Jack Burton<BR>> </DIV>
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