Outpatient Hysteroscopy GTG Flashcards
1
Q
What analgesia is recommended?
A
NSAIDs 1 hours before, avoid opiates
2
Q
Size of hysteroscopy
A
2.7mm with 3-3.5mm sheath
3
Q
What options of distension medium?
A
Carbon dioxide
Normal saline → must be used if using bipolar
4
Q
Risk of perforation with blind endoscopic instrumentation of Cx
A
0.002-1.7%
Higher risk: blind dilatation, Cx stenosis, tortuous cervical canal, deviationed uterine cavity (acute flexions, pelvic adhesions, fibroids)
5
Q
If cervical dilatation needed, what analgesia should be offered?
A
GA
6
Q
Effect of installation of local anaestheticc into cerival canal?
A
No reduced pain, but reduced vasovagal
