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Critically High Carboxyhemoglobin Level following Extensive Hysteroscopic Myomectomy
Jocelyn J Fitzgerald1, John M Davitt1, Scott R Frank1
1Georgetown University (Drs. Fitzgerald and Davitt) and MedStar Washington Hospital Center, Washington, DC (all authors).
Bipolar hysteroscopic myomectomy can produce carbon monoxide, leading to dangerously high carboxyhemoglobin levels. This risk necessitates careful patient monitoring and management to prevent organ damage during gynecologic surgery.
Area of Science:
- Gynecologic surgery
- Anesthesiology
- Toxicology
Background:
- Hysteroscopic myomectomy using bipolar diathermy generates carbon monoxide, a gas that enters the patient's circulation.
- The clinical significance of transient carboxyhemoglobin level elevations during hysteroscopic surgery is not well understood.
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