Epidural anesthesia in anin vitro fertilization and embryo transfer program

Botta, Giuseppe; D'Angelo, Aldo; D'Ari, G; Merlino, Gianfranco; Chapman, Michael; Grudzinskas, Gedis

doi:10.1007/bf02211796

Cited by 28 publications

(10 citation statements)

References 9 publications

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“…36 Epidural anesthesia is another effective option for egg retrieval; however, it does not improve treatment outcomes in comparison to intravenous sedation. 37 Spinal anesthesia has been used as an effective method. Martin et al demonstrated that fentanyl, in addition to lidocaine with spinal anesthesia made patients more comfortable during an egg retrieval procedure than lidocaine alone.…”

Section: Ivf Retrievalmentioning

confidence: 99%

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Wong¹,

Georgiadis²,

Urman³

et al. 2020

LRA

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Non-operating room anesthesia (NORA) represents a growing field of medicine with an increasing trend in the number of cases performed over the previous decade. As a result, anesthesia providers will need to enhance their familiarity with the resources, personnel, and environment outside of the operating room. Anesthesia delivery in NORA settings should be held with the same high-quality standards as that within the operating room. This review looks at special considerations in patient selection and the preoperative, intraoperative, and postoperative periods. In addition, there is a discussion on the unique aspects of specific NORA areas and the considerations that come with them.

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Section: Ivf Retrievalmentioning

confidence: 99%

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Wong¹,

Georgiadis²,

Urman³

et al. 2020

LRA

View full text Add to dashboard Cite

show abstract

“…Nerve blocks (ovarian block and paracervical block) as an additional method for pain relief proved no harm on the IVF success [ 3 , 4 ]. Epidural anesthesia is not commonly used but it seems a safe alternative choice, as it was not associated with toxic effects [ 5 ].…”

Section: Resultsmentioning

confidence: 99%

“…Women undergoing SA had increased pregnancy rates compared with women who received GA for IVF [ 1 , 2 ]. Epidural anesthesia and sedation (propofol and mask-assisted ventilation with nitrous oxide) had the same outcomes in terms of pregnancy [ 5 ]. No difference was found between performing preovarian block and paracervical local anesthetic block for oocyte retrieval [ 4 ].…”

Section: Resultsmentioning

confidence: 99%

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Anesthesia Related Toxic Effects on In Vitro Fertilization Outcome: Burden of Proof

Matsota

Kaminioti

Kostopanagiotou

2015

BioMed Research International

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Management of pain and anxiety during oocyte retrieval makes anesthesia an important part of the in vitro fertilization (IVF) procedures. There are many studies investigating the influence of anesthesia on IVF success. This review article provides an overview of published data regarding the potential toxic effects of different anesthetic techniques (Loco-regional, general anesthesia (GA), and monitored anesthesia care (MAC)), different anesthetic agents, and alternative medicine approach (principally acupuncture) on the IVF outcome. From our analysis, evidence of serious toxicity in humans is not well established. Trials regarding different anesthetic techniques ended up without clear conclusions. Studies about GA came up with conflicting results. A few trials relate GA with lower pregnancy rates, although some others failed to prove this conclusion. Furthermore, detectable amounts of some anesthetic agents are measurable in the follicular fluid but these findings are not strongly associated with toxicity. MAC and Loco-regional anesthesia appear as safe alternative choices and there is evidence of improved outcome. Whereas acupuncture may provide assistance increasing IVF success according to some trials, some others could not obtain these effects. Questions about the appropriate time of application and the underlying mechanism of action are not answered yet, so further investigation should be done.

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“…When compared to sedation with propofol and mask-assisted ventilation with nitrous oxide, epidural bupivacaine anesthesia resulted in fewer complications, especially nausea and emesis. 54 Spinal anesthesia may be preferable to epidural anesthesia due to the reduced anesthetic failure rate, lower systemic and follicular concentrations of anesthetic agent, and a faster recovery profile. 55 Spinal administration of 1.5% hyperbaric lidocaine (60 mg) is associated with significantly shorter recovery times than spinal administration of 5% hyperbaric lidocaine in patients undergoing ART procedures.…”

Section: Ultrasonographic-guided Transvaginal Oocyte Retrievalmentioning

confidence: 99%

Anesthesia for Assisted Reproductive Technologies

Tsen

2007

International Anesthesiology Clinics

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Epidural anesthesia in anin vitro fertilization and embryo transfer program

Abstract: 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.

Cited by 28 publications

References 9 publications

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

<p>Non-Operating Room Anesthesia: Patient Selection and Special Considerations</p>

Anesthesia Related Toxic Effects on In Vitro Fertilization Outcome: Burden of Proof

Anesthesia for Assisted Reproductive Technologies

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