Noncardiogenic pulmonary edema and venous air embolus as complications of operative hysteroscopy

Jerome J Grove, Richard C Shinaman, David R Drover
Journal of Clinical Anesthesia 2004, 16 (1): 48-50
A 37-year-old patient undergoing operative hysteroscopy developed noncardiogenic pulmonary edema after fluid absorption of 6 L of Ringer's lactate distension solution. No electrolyte or neurologic sequelae were associated with this fluid absorption. A subsequent 35-year-old patient having similar surgery in which a device was used to control intrauterine pressure and fluid absorption, developed a venous air embolus. The use of Ringer's lactate solution reduces the consequences associated with fluid absorption but it is not without risks. A device to limit intrauterine pressure and fluid absorption does not eliminate other risks.

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