Application of TEE to monitor intracardiac gas embolism during hysteroscopy
10.3969/j.issn.1006-5725.2014.12.029
- VernacularTitle:经食管超声心动图在宫腔镜术中患者心腔内气体栓塞状况的监测
- Author:
Biao HONG
;
Miaoning GU
;
Lvfang DUAN
;
Limin ZHENG
- Publication Type:Journal Article
- Keywords:
Hysteroscopy;
Transesophageal echocardiography;
Venous gas embolism;
Segmental wall motion abnormality
- From:
The Journal of Practical Medicine
2014;(12):1946-1949
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the incidence and the rate of embolism in patients undergoing hysteroscopy procedures by using the transesophageal echocardiography (TEE), as well as the changes of respiratoric and haemodynamic variables. Methods Fourty ASA Ⅰ~Ⅱ patients undergoing hysteroscopy procedures under general anesthesia received intraoperative TEE monitoring. The systolic pulmonary artery pressure, the incidence of the venous gas embolism (VGE) and the eegmental wall motion abnormality (SWMAs) were observed. Results In the 40 patients, 38 patients received intravenous anesthesia hysteroscopic surgery, with the intraoperative TEE to monitor the intracardiac VGE. The degree of gas embolism was related with the perfusion and the usage of monopolar or bipolar diathermia (P<0.05). The systolic pulmonary artery pressure promoted and SWMAs were also observed. Conclusions The continue TEE monitor during hysteroscopy could detect the intracardiac gas embolism in time , contributing to early diagnosis and avoiding the occurrence of malignant arrhythmias or myocardial ischemic events.
