Principles of Fluid Management in Diagnostic and Operative Hysteroscopy

Sponsored by Medtronic

Credit CA:2.0, NCCT:2.0

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About the Course

Fluid Management is used frequently in both diagnostic and operative hysteroscopy. There is increasing evidence that fluid management has an impact on patient outcomes, therefore effective management of fluid is a key component of safe perioperative care for patients undergoing hysteroscopy. This continuing education activity will review the significance of fluid management in hysteroscopy, including the clinical care implications related to the patient’s perioperative journey. Understanding the clinical proposition for the features and functions of the procedure will help inform the staff’s knowledge and prepare them for effective use of the system. As such, this content will review the clinical team members roles related to fluid management, clinical considerations for use of fluid management, proper patient positioning, possible complications associated with fluid management, safety considerations and recognized (AORN, AAGL) standards of care.

Learning Objectives

  • Explore the clinical considerations of fluids used for distention in GYN procedures, including an assessment of suitable fluids for different procedures, a comparison of isotonic and hypotonic solutions, and specific applications for diagnostic, eHtr(loop), and mHtr. 
  • Examine the perioperative clinical care implications associated with fluid management in hysteroscopy, emphasizing its role in preoperative, intraoperative, and postoperative phases. 
  • Evaluate complications of fluid management in Hysteroscopy, such as Fluid Overload (Intravasation), monitoring responsibilities, fluid deficit calculation), and recognizing signs and symptoms of complications. 
  • Examine the clinical impact of maintaining adequate Intrauterine Pressure (IUP), fluid absorption rate, and patient anatomy/positioning considerations. 

  • Summarize the current standards and guidelines from AORN and other governing bodies, with a focus on safety parameters, deficit thresholds, and the comparison between weight-based and volume-based fluid management in hysteroscopy.

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