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Allen I. Arieff, MD
University of California, San Francisco

J. Carlos Ayus, MD
Baylor College of Medicine Houston, Tex

JAMA. 1994;271(5):345.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—Dr Lyon points out that during endometrial ablation, a discrepancy between intake and output would be reflected by a weight gain. This appears to be an excellent way to monitor fluid balance in such patients.

Dr Mangar recommends careful monitoring of the patient undergoing hysteroscopy, including frequent measurements of serum electrolyte levels and the quantity of irrigating fluid used. Such a cautious approach should contribute toward prevention of the syndrome that we described.

Dr O'Connor recommends use of an ethanol-containing irrigation fluid, combined with end-tidal breath analysis for ethanol levels. This apparently has been successful during TURP. An increased breath alcohol level in expired air would alert the physician that an excess of fluid had been reabsorbed. This could be an excellent way to monitor such patients, if the required technology were widely available.

Dr Corson, alarmingly, suggests vasopressin administration to patients undergoing endometrial ablation. Many of the . . . [Full Text PDF of this Article]

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