Background: The patients undergoing IVF treatment are thoroughly evaluated for the cause of infertility, appropriate treatment instituted and the associated co morbidity. Another major challenge for the anaesthetists is to allay the anxiety. The patients presenting in the IVF clinic are under high degree of social and psychological stress. Detailed pre anaesthetic check up was done a day prior to surgery and appropriate investigations were carried out. Subjects and Methods: The anaesthetic technique and the questionnaire were explained to the patients and an informed written consent was taken from all the patients.Patients were kept fasting overnight prior to surgery and were premedicated with Tab. Ranitidine 150 mg and Tab. Alprazolam 0.25 mg on the night before surgery and repeated on the next day one hour prior to surgery with sip of water. Results: On table recovery time was found to be 6.12 minutes in group P1 (2mg/kg), 5.32 minutes in group P2 (1.5mg/kg) and 5.32 minutes in group P3 (1mg/kg). No statistical difference observed between the 3 groups. Time to discharge was found to be 37.08 minutes in group P1 (2mg/kg), 33.48minutes in group P2 (1.5mg/kg) and 28.88minutes in group P3 (1mg/kg). Conclusion: On table recovery time was found to be 6.12 minutes in group P1 (2mg/kg), 5.32 minutes in group P2 (1.5mg/kg) and 5.32 minutes in group P3 (1mg/kg). No statistical significant difference was observed between the three groups.
Background: Total intravenous anaesthesia (TIVA) using propofol is one of the commonest techniques used for TVOR as a day care procedure by virtue of its adequate sedation and speedy clear headed recovery. Monitors like BIS or entropy help us to effectively titrate the drug so as to maintain optimal depth of anaesthesia and minimise drug consumption. Subjects and Methods: After obtaining Institutional Review Board approval, this prospective randomised controlled study was conducted in the Department of Anaesthesiology and Intensive care, Medical College Hospital. All ASA Grade I and II female patients of reproductive age group coming for oocyte retrieval under general anaesthesia who can understand the informed consent form were included in the study. Results: There is a statistically significant difference observed between group P1 and P3 with regard to Proportion of patients not requiring rescue boluses. No significant difference was observed between P1-P2 and P2-P3 groups. There was a statistically significant difference observed between groups P1 and P3 in respect to total propofol consumption. No significant difference observed between P1-P2 and P2-P3. Conclusion: Bolus dose of propofol can be an induction dose of choice in oocyte retrieval patients as it requires less rescue boluses compared to 1.0mg/kg and and overall propofol consumption was less than 2 mg/kg but more than1 mg/kg.
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