دورية أكاديمية
Severe intraoperative hyponatremia in a patient scheduled for elective hysteroscopy: a case report.
| العنوان: | Severe intraoperative hyponatremia in a patient scheduled for elective hysteroscopy: a case report. |
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| المؤلفون: | Estes CM; Naval Hospital Camp Pendleton, Oceanside, Calif., USA., Maye JP |
| المصدر: | AANA journal [AANA J] 2003 Jun; Vol. 71 (3), pp. 203-5. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Nurse Anesthetists Country of Publication: United States NLM ID: 0431420 Publication Model: Print Cited Medium: Print ISSN: 0094-6354 (Print) Linking ISSN: 00946354 NLM ISO Abbreviation: AANA J |
| أسماء مطبوعة: | Publication: Park Ridge, Ill. : American Association of Nurse Anesthetists Original Publication: Chicago. |
| مواضيع طبية MeSH: | Intraoperative Complications*, Hyponatremia/*etiology , Hysteroscopy/*adverse effects, Adult ; Elective Surgical Procedures ; Female ; Glycine/adverse effects ; Humans ; Hypotonic Solutions/adverse effects ; Leiomyoma/surgery ; Sorbitol/adverse effects ; Time Factors ; Uterine Neoplasms/surgery |
| مستخلص: | Hysteroscopy is a minimally invasive procedure that may result in potentially disastrous complications. A hysteroscopy requires the insertion of a hysteroscope into the uterine cavity and the installation of a suitable distention medium for visualization of the endometrium. Potential risks include fluid volume overload, uterine perforation, hemorrhage, infection, and the need for immediate hysterectomy. Solutions most commonly used for distention of the uterine cavity are 1.5% glycine and sorbitol. Hypotonic, electrolyte-free distention media have the potential to be absorbed in volumes large enough to cause hyponatremia and hypervolemia, complications initially described as transurethral resection of the prostate (TURP) syndrome. Hyponatremia and hypervolemia have been associated with hysteroscopic surgical procedures. The following is a case report detailing the perioperative events of a 40-year-old woman in whom severe hyponatremia developed during an elective hysteroscopy. |
| المشرفين على المادة: | 0 (Hypotonic Solutions) 506T60A25R (Sorbitol) TE7660XO1C (Glycine) |
| تواريخ الأحداث: | Date Created: 20030710 Date Completed: 20030904 Latest Revision: 20141120 |
| رمز التحديث: | 20231215 |
| PMID: | 12847943 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0094-6354 |
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