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Safe maximum fluid deficit thresholds during operative hysteroscopy for isotonic fluids.
[GPP] A maximum fluid deficit of 1000 ml should be set when using a hypotonic solution in a healthy woman and surgery immediately stopped on reaching this limit.
[C] A maximum fluid deficit of 2500 ml should be set when using an isotonic solution in a health woman and surgery immediately stopped on reaching this limit.
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The normalized pore fluid pressure ratio, the lower bound of the maximum fluid pressure level30, is ~0.95 for a tensile strength of 10 MPa210
Results: The mean endometrial thickness, fluid used, fluid deficit, weight of resected tissue and duration of surgery were significantly greater in the unprepared group.
The limits for fluid deficit were respected.
Data evaluating fluid deficit during hysteroscopic surgery are lacking preventing a standard definition of fluid overload.
Measurement of fluid deficit should be undertaken by a dedicated member of the theatre team.
[GPP] Automated fluid measurement systems are more accurate than manual measurement but they can still overestimate fluid deficit.
Fluid deficit ranged from 0 mL to 300 mL (median 40 mL).
There is no evidence on the optimal monitoring frequency for estimating fluid deficit.
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