Acute pulmonary edema from unrecognized high irrigation pressure in hysteroscopy: a report of two cases.
After two consecutive patients underwent hysteroscopy that was complicated by pulmonary edema, the pneumatically inflated pressure cuff machine was checked and found that the pressure gauge was in error, with actual pressure being twice that of the recorded number. High irrigation pressures with a seemingly normal amount of irrigation fluid may induce acute pulmonary edema.
Hsieh
Ming-Hui
MH
Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan.
Chen
Ta-Liang
TL
Lin
Yu-Hua
YH
Chang
Chuen-Chau
CC
Lin
Chao-Shun
CS
Lee
Yuan-Wen
YW
D000208:Acute Disease; D000328:Adult; D004868:Equipment Failure; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007431:Intraoperative Complications; D011312:Pressure; D011654:Pulmonary Edema / Q000209:etiology*; D007507:Therapeutic Irrigation / Q000009:adverse effects*