The validity of continuous automated fluid monitoring during endometrial surgery: luxury or necessity?
Thirty-four consecutive women undergoing endometrial laser ablation, as a treatment of menorrhagia, were recruited to assess the validity of fluid absorption monitoring by a new continuous automated system (AquaSens). The same group of women also had monitoring of fluid absorption carried out by our standard technique of weighing. The intra-class correlation coefficient for the fluid deficit estimated by AquaSens compared to our standard technique of manually weighing the irrigation bags was 0.98 (95% CI 0.96-0.99). Aquasens therefore provides a valid and non-invasive method of continuously monitoring fluid deficit amongst patients undergoing operative hysteroscopy procedures, thereby reducing the risk of unexpected fluid absorption and its potentially fatal sequelae.
Hawe
J A
JA
WEL Foundation, South Cleveland Hospital, Middlesbrough, UK.
Chien
P F
PF
Martin
D
D
Phillips
A G
AG
Garry
R
R
D003657:Decision Making; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D005440:Fluid Therapy / Q000295:instrumentation; D006801:Humans; D007430:Intraoperative Care; D017075:Laser Coagulation / Q000379:methods*; D008595:Menorrhagia / Q000601:surgery*; D008991:Monitoring, Physiologic / Q000379:methods*; D015203:Reproducibility of Results; D007507:Therapeutic Irrigation