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...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 1998-07, Vol.105 (7), p.797-801
Main Authors: Hawe, Jeremy A., Chien, Patrick F. W., Martin, Doreen, Graham Phillips, A., Garry, Ray
Format: Article
Language:English
Subjects:
Biological and medical sciences
Decision Making
Extravasation of Diagnostic and Therapeutic Materials
Female
Fluid Therapy - instrumentation
Humans
Intraoperative Care
Laser Coagulation - methods
Medical sciences
Menorrhagia - surgery
Monitoring, Physiologic - methods
Reproducibility of Results
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Therapeutic Irrigation
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Summary: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.
ISSN:1470-0328
0306-5456
1471-0528
1365-215X
DOI:10.1111/j.1471-0528.1998.tb10213.x