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The validity of continuous automated fluid monitoring during endometrial surgery: luxury or necessity?

Authors
Type
Published Article
Journal
British journal of obstetrics and gynaecology
Publication Date
Volume
105
Issue
7
Pages
797–801
Identifiers
PMID: 9692423
Source
Medline
License
Unknown

Abstract

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.

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