EPIDURAL-ANESTHESIA IN AN IN-VITRO FERTILIZATION AND EMBRYO-TRANSFER PROGRAM

被引：17

作者：

BOTTA, G

DANGELO, A

DARI, G

MERLINO, G

CHAPMAN, M

GRUDZINSKAS, G

机构：

[1] Ecocenter and Fertility Center, Clinica 'C. G. Ruesch', Napoli, 80122

[2] Department of Obstetrics and Gynaecology, University of New South Wales, Sydney

[3] Academic Unit of Obstetrics and Gynaecology, London Hospital Medical College, London

来源：

JOURNAL OF ASSISTED REPRODUCTION AND GENETICS | 1995年 / 12卷 / 03期

关键词：

ANESTHESIA; IVF-ET; EPIDURAL ANESTHESIA; TRANSVAGINAL OOCYTE RETRIEVAL;

D O I：

10.1007/BF02211796

中图分类号：

Q3 [遗传学];

学科分类号：

071007 ; 090102 ;

摘要：

Objectives: To investigate the potential advantages of epidural anesthesia in an in vitro fertilization and embryo transfer program. Study Design: Between January 1991 and December 1992, 148 infertile patients underwent transvaginal ultrasound guided oocyte retrieval. A total of 44 patients (group A) had 50 retrievals under epidural anesthesia, and 104 patients (group B, control group) 112 retrievals under intravenous sedation (propofol) with mask-assisted ventilation (nitrous oxide). Results: In group A satisfactory anesthesia was achieved in 49 of the 50 cases (98%); one patient required additional intravenous administration of propofol owing to extreme anxiety. No complications were observed. Adversely, in group B nausea was observed in 16 cases (14%) and nausea and vomiting in 7 cases (6%). In group A the fertilization, cleavage and pregnancy rates were 67.2%, 92% and 20% respectively, while in group B the rates were 69.3%, 93% and 19.6% respectively; the differences are not statistically significant. Conclusions: Epidural anesthesia is an effective method for transvaginal oocyte retrieval but does not improve the treatment outcome as compared to an intravenous sedation with mask-assisted ventilation using propofol and nitrous oxide.

引用

页码：187 / 190

页数：4

共 11 条

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