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Hysteroscopy pressuresFrom: George M. Grunert (grunert@ICSI.Net)Mon Oct 21 09:44:28 1996
> From: ob-gyn-l@listserv.bcm.tmc.edu > To: Multiple recipients of list <ob-gyn-l@listserv.bcm.tmc.edu> > Subject: OB-GYN-L digest 683
> Date: Fri, 18 Oct 1996 16:43:18 I do not recall seeing any new FDA guidelines on hysteroscopy pressure. There is a consumer bulletin on hysteroscopy for fibroids (http://www.fda.gov//bbs/topics/CONSUMER/CON00262.html). There is an older product warning reporting gas embolism in patients undergoing operative hysteroscopy using gas distension which noted that operative procedures should be done with liquid media. I feel pressure should be kept below 75mm Hg to minimize the chances of overdistention or vascular intravasation. If you need to clear blood or debris, you can either overdilate the cervix, allowing outflow, or use a continuous flow hysteroscope.
-- George M. Grunert, M.D. Director ART Program, Woman's Hospital of Texas 7550 Fannin Houston, TX 77054 713-512-7851 fax 713-512-7853 grunert@icsi.net
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