We report a fatal outcome using 1.5% glycine as distension/irrigation fluid for hysteroscopic myomectomy.During general anaesthesia for transcervical endoscopic resection of myoma, a healthy 35‐year‐old woman developed severe pulmonary hyponatraemia and cerebral oedema, and was declared brain dead. Postmortem findings did not reveal pontine myelinolysis. Through the procedure, the net fluid absorption of 1.5% glycine was 1.6 L plus 1 L of maintenance intravenous Ringer’s lactate solution.Regional anaesthesia is recommended for hysteroscopy, since general anaesthesia may mask neurologic signs, and meticulous attention should be paid to intraoperative fluid balance.

STUDY OBJECTIVE:To determine the effectiveness of epidural scopolamine in preventing nausea and vomiting in patients receiving epidural morphine.DESIGN:Randomized, double-blind study.SETTING:Inpatient surgery clinic at a regional general hospital.PATIENTS:50 patients undergoing major abdominal and lower limb surgery.INTERVENTIONS:Morphine alone 2.5 to 4 mg was administered via epidural catheter to one group, while the other group received morphine plus scopolamine 0.25 mg via epidural catheter.MEASUREMENTS AND MAIN RESULTS:Occurrence of nausea and vomiting was recorded during the first postoperative day. Compared with the morphine alone group, the incidence of nausea and vomiting was significantly lower in the morphine plus scopolamine group without difference in the adequacy of analgesia.CONCLUSION:Epidural scopolamine can be used as an adjunct to epidural morphine in effectively reducing the incidence of postoperative nausea and vomiting.

AnaesthesiaVolume 48, Issue 6 p. 536-537 Free Access A trapped epidural catheter R. Moscovici, R. Moscovici Central Emek Hospital, Afula, IsraelSearch for more papers by this authorG. Prego, G. Prego Central Emek Hospital, Afula, IsraelSearch for more papers by this author R. Moscovici, R. Moscovici Central Emek Hospital, Afula, IsraelSearch for more papers by this authorG. Prego, G. Prego Central Emek Hospital, Afula, IsraelSearch for more papers by this author First published: June 1993 https://doi.org/10.1111/j.1365-2044.1993.tb07088.xCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume48, Issue6June 1993Pages 536-537 RelatedInformation