TY - JOUR TT - TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL AU - Göğüs, Yılmaz AU - Yaycı, Abdurrahman AU - Eti, Zeynep PY - 2016 DA - March JF - Marmara Medical Journal JO - Marmara Med J PB - Marmara University WT - DergiPark SN - 1019-1941 SP - 244 EP - 247 VL - 15 IS - 4 N2 - Objective: The aim of this study was to compare the adequacy of spontaneous breathing and assisted ventilation with laryngeal mask airway (LMA) during total intravenous anesthesia for transvaginal oocyte retrieval.Methods: One hundred patients, undergoing transvaginal oocyte retrieval under propofol - alfentanil anesthesia were randomly assigned into two groups. Anesthesia was induced with 2 mg.kg-1 propofol and 10 pg.kg-1 alfentanil i.v. in all patients . The ventilation was assisted with LMA in group I and was spontaneous in group II. One mg.kg-1 propofol and 5 pg.kg-1 alfentanil i.v. were administered when needed. Systolic and diastolic blood pressure, heart rate, oxygen saturation (Sp02) and end-tidal C02 pressure (ETC02), total drug doses administered, side effects and Aldrete recovery score were recorded.Results: Blood pressure and heart rate decreased significantly in all patients after induction (p<0.001). Sp02 increased and ETC02 decreased significantly at the 5th min in group I. Sp02 in group I and ETC02 in group II was found significantly higher (p<0.001) but remained within normal range during the operation. There were no differences in the time to achieve an Aldrete recovery score of 10 and the incidence of side effects.Conclusion: We concluded that propofol- alfentanil anesthesia with spontaneous breathingis an effective and safe anesthetic technique for transvaginal oocyte retrieval.Key Words: Intravenous anaesthetics,Propofol, Alfentanil, Transvaginal oocyte retrieval CR - Tontisirin O, Rojanasakul A, Srisombut C et al. Propofol anesthesia for transvaginal ultrasound guided oocyte retrieval. J Med Assoc Thai 1996; 79: 618-623. CR - Huang IIW, lluang PJ, Rung FT, et al. Effects CR - of induction anesthetic agents on outcome of assisted reproductive technology: a CR - comparison of propofol and thiopental sodium. Changgeng Yi Xue Za Zhi 2000; 23: 513-519. CR - Ben-Shlomo I, Moskowich R, Golan J, et al. The effect of propofol anesthesia on oocyte fertilization and early embryo quality. Hum Reprod 2000; 15: 2197-2199. CR - Casati A, Valentini G, Zangrillo A, et al. CR - Anesthesia for ultrasound guided oocyte retrieval: midazolam-remifentanil versus CR - propofol-fentanil regimens. EurJ Anaesthesiol 1999; 16: 773-778. CR - Ben-Shlomo I, Amodai I, Levran D, et al. Midazolam-fentanyl sedation in conjunction with local anesthesia during oocyte retrieval for in vitro fertilization. J Assist Reprod Genet 1992; 9: 83-85. CR - Ramsewak 55, Rumar A, Welsby R, et al. Is analgesia required for transvaginal single follicle aspiration in in vitro fertilization? A double-blind study. J In Vitro Fert Embryo Transf 1990; 7: 103-106. CR - flaito Y, Tamai S, Fukata J, et al. Comparison of endocrinological stress response associated with transvaginal ultrasound guided oocyte pick-up under halotane anesthesia and neurolept anesthesia. Can J Anaesth 1989; 36: 633-636. CR - Commings DJ, Whitter H, Okoli UC, Ewart M. Postintubation uvular necrosis. Anaesthesia 1994; 49: 457-458. CR - Teichner RL. Lingual nerve injury: a CR - complication of orotracheal intubation. Br J Anaesth 1971; 43: 413. CR - Cavo JWJ. True vocal cord paralysis following intubation. Laryngoscope 1985; 95: 1352- 1359. CR - Benjamin B. Prolonged intubation injuries of CR - the larynx: endoscopic diagnosis, CR - classification and treatment. Ann Otol Rhinol Laryngoi 1993; 160 (suppl): 1-15. CR - Dingley J, Wareham R. A comparative study of the incidence of sore throat with the laryngeal mask airway. Anaesthesia 1994; 49: 251-254. CR - Brimacombe J, Beery A. Laryngeal mask airway cuff pressure and position during anesthesia lasting one to two hours. Can J Anaesth 1994; 41: 589-593. CR - Burgard G, Mollhoff T, Prien T. The effect of laryngeal mask cuff pressure on postoperative sore throat incidence. J Clin Anesth 1996; 8: 198-210. CR - Shresta BM, Basnyat HB. Experience with the laryngeal mask airway in Hepal. Today's Anaesthesist 1993; 8: 133-134. CR - Lloyd JFR, Hegap A. Recurrent laryngeal nerve palsy after laryngeal mask insertion. Anaesthesia 1996; 51: 171-1 72. CR - I 7. Ring C, Street MR. Twelfth cranial nerve palsy following use of laryngeal mask airway. Anaesthesia 1994; 49: 786-787. UR - https://dergipark.org.tr/en/pub/marumj/article/272080 L1 - https://dergipark.org.tr/en/download/article-file/252812 ER -