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BIG SKY, MONT. -- A good way to avoid fluid overload complications when performing surgery through the hysteroscopic resectoscope is to train the surgical team to call out the net fluid intake every 15 minutes, Dr. Joseph S. Sanfilippo urged.
"Get your team to inform you. You're too involved with the case to keep checking yourself. You have got to hear them tell you every 15 minutes what your deficit is. And you have got to have your cutoff points in mind," he said at an ob.gyn. update sponsored by the Geisinger Health System.
Most operating rooms now use a balance system that enables a surgical team member to read on a screen the difference between fluid inflow and outflow through the resectoscope, said Dr. Sanfilippo, professor of ob.gyn. at the University of Pittsburgh.
"The magic numbers for me ...