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TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL

Year 2002, Volume: 15 Issue: 4, 244 - 247, 03.12.2016

Yılmaz Göğüs Abdurrahman Yaycı Zeynep Eti

Abstract

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 breathing
is an effective and safe anesthetic technique for transvaginal oocyte retrieval.
Key Words: Intravenous anaesthetics,
Propofol, Alfentanil, Transvaginal oocyte retrieval

References

  • Tontisirin O, Rojanasakul A, Srisombut C et al. Propofol anesthesia for transvaginal ultrasound guided oocyte retrieval. J Med Assoc Thai 1996; 79: 618-623.
  • Huang IIW, lluang PJ, Rung FT, et al. Effects
  • of induction anesthetic agents on outcome of assisted reproductive technology: a
  • comparison of propofol and thiopental sodium. Changgeng Yi Xue Za Zhi 2000; 23: 513-519.
  • 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.
  • Casati A, Valentini G, Zangrillo A, et al.
  • Anesthesia for ultrasound guided oocyte retrieval: midazolam-remifentanil versus
  • propofol-fentanil regimens. EurJ Anaesthesiol 1999; 16: 773-778.
  • 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.
  • 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.
  • 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.
  • Commings DJ, Whitter H, Okoli UC, Ewart M. Postintubation uvular necrosis. Anaesthesia 1994; 49: 457-458.
  • Teichner RL. Lingual nerve injury: a
  • complication of orotracheal intubation. Br J Anaesth 1971; 43: 413.
  • Cavo JWJ. True vocal cord paralysis following intubation. Laryngoscope 1985; 95: 1352- 1359.
  • Benjamin B. Prolonged intubation injuries of
  • the larynx: endoscopic diagnosis,
  • classification and treatment. Ann Otol Rhinol Laryngoi 1993; 160 (suppl): 1-15.
  • Dingley J, Wareham R. A comparative study of the incidence of sore throat with the laryngeal mask airway. Anaesthesia 1994; 49: 251-254.
  • 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.
  • 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.
  • Shresta BM, Basnyat HB. Experience with the laryngeal mask airway in Hepal. Today's Anaesthesist 1993; 8: 133-134.
  • Lloyd JFR, Hegap A. Recurrent laryngeal nerve palsy after laryngeal mask insertion. Anaesthesia 1996; 51: 171-1 72.
  • I 7. Ring C, Street MR. Twelfth cranial nerve palsy following use of laryngeal mask airway. Anaesthesia 1994; 49: 786-787.

Year 2002, Volume: 15 Issue: 4, 244 - 247, 03.12.2016

Yılmaz Göğüs Abdurrahman Yaycı Zeynep Eti

Abstract

References

  • Tontisirin O, Rojanasakul A, Srisombut C et al. Propofol anesthesia for transvaginal ultrasound guided oocyte retrieval. J Med Assoc Thai 1996; 79: 618-623.
  • Huang IIW, lluang PJ, Rung FT, et al. Effects
  • of induction anesthetic agents on outcome of assisted reproductive technology: a
  • comparison of propofol and thiopental sodium. Changgeng Yi Xue Za Zhi 2000; 23: 513-519.
  • 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.
  • Casati A, Valentini G, Zangrillo A, et al.
  • Anesthesia for ultrasound guided oocyte retrieval: midazolam-remifentanil versus
  • propofol-fentanil regimens. EurJ Anaesthesiol 1999; 16: 773-778.
  • 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.
  • 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.
  • 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.
  • Commings DJ, Whitter H, Okoli UC, Ewart M. Postintubation uvular necrosis. Anaesthesia 1994; 49: 457-458.
  • Teichner RL. Lingual nerve injury: a
  • complication of orotracheal intubation. Br J Anaesth 1971; 43: 413.
  • Cavo JWJ. True vocal cord paralysis following intubation. Laryngoscope 1985; 95: 1352- 1359.
  • Benjamin B. Prolonged intubation injuries of
  • the larynx: endoscopic diagnosis,
  • classification and treatment. Ann Otol Rhinol Laryngoi 1993; 160 (suppl): 1-15.
  • Dingley J, Wareham R. A comparative study of the incidence of sore throat with the laryngeal mask airway. Anaesthesia 1994; 49: 251-254.
  • 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.
  • 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.
  • Shresta BM, Basnyat HB. Experience with the laryngeal mask airway in Hepal. Today's Anaesthesist 1993; 8: 133-134.
  • Lloyd JFR, Hegap A. Recurrent laryngeal nerve palsy after laryngeal mask insertion. Anaesthesia 1996; 51: 171-1 72.
  • I 7. Ring C, Street MR. Twelfth cranial nerve palsy following use of laryngeal mask airway. Anaesthesia 1994; 49: 786-787.
There are 24 citations in total.

Details

Journal Section Original Research
Authors

Yılmaz Göğüs This is me

Abdurrahman Yaycı This is me

Zeynep Eti This is me

Publication Date December 3, 2016
Published in Issue Year 2002 Volume: 15 Issue: 4

Cite

APA Göğüs, Y., Yaycı, A., & Eti, Z. (2016). TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL. Marmara Medical Journal, 15(4), 244-247.
AMA Göğüs Y, Yaycı A, Eti Z. TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL. Marmara Med J. March 2016;15(4):244-247.
Chicago Göğüs, Yılmaz, Abdurrahman Yaycı, and Zeynep Eti. “TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL”. Marmara Medical Journal 15, no. 4 (March 2016): 244-47.
EndNote Göğüs Y, Yaycı A, Eti Z (March 1, 2016) TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL. Marmara Medical Journal 15 4 244–247.
IEEE Y. Göğüs, A. Yaycı, and Z. Eti, “TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL”, Marmara Med J, vol. 15, no. 4, pp. 244–247, 2016.
ISNAD Göğüs, Yılmaz et al. “TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL”. Marmara Medical Journal 15/4 (March 2016), 244-247.
JAMA Göğüs Y, Yaycı A, Eti Z. TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL. Marmara Med J. 2016;15:244–247.
MLA Göğüs, Yılmaz et al. “TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL”. Marmara Medical Journal, vol. 15, no. 4, 2016, pp. 244-7.
Vancouver Göğüs Y, Yaycı A, Eti Z. TOTAL INTRAVENOUS ANESTHESIA WITH SPONTANEOUS BREATHING FOR TRANSVAGINAL OOCYTE RETRIEVAL. Marmara Med J. 2016;15(4):244-7.