Prospective, observational study of the depth of anesthesia during oocyte retrieval using a total intravenous anesthetic technique and the Bispectral index monitor

Circeo, Lori; Grow, Daniel R.; Kashikar, Ananth; Gibson, Charles Stanley

doi:10.1016/j.fertnstert.2011.06.010

Cited by 17 publications

(15 citation statements)

References 11 publications

(12 reference statements)

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“…93.1% of patients showed BIS ≤ 60. According to literature and manufacturer, BIS numbers lower than 60, exponentially reduces intra-operative recall probabilities (Carrillo-Esper Circeo et al, 2011). In our research, none of the patients reported intra-operative recall, not even one patient that showed BIS values of 70 at some moment of the procedure (5 patients showed BIS between 61 to 70).…”

Section: Graphic 1 Percentage Distribution Of Intraoperative Movemenmentioning

confidence: 46%

“…None of the patients showed grade III movement. However, our number of patients is too small to establish an adequate relation between BIS and intra-operative mobility grade, we recommend, as other authors, to achieve BIS level of 50±5 to monitoring grade of depth anesthesia for oocyte retrieval (Circeo et al, 2011).…”

Section: Graphic 1 Percentage Distribution Of Intraoperative Movemenmentioning

confidence: 81%

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Evaluation of Plasmatic Concentration of Propofol 2.5µg/ml by TCI using Marsh Modified Model, during oocyte retrieval for IVF in Latin-American women (Venezuelans)

Ramírez-Paesano

Fhima

Medina

et al. 2015

JBRA Assisted Reproduction

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Section: Graphic 1 Percentage Distribution Of Intraoperative Movemenmentioning

confidence: 46%

Section: Graphic 1 Percentage Distribution Of Intraoperative Movemenmentioning

confidence: 81%

Evaluation of Plasmatic Concentration of Propofol 2.5µg/ml by TCI using Marsh Modified Model, during oocyte retrieval for IVF in Latin-American women (Venezuelans)

Ramírez-Paesano

Fhima

Medina

et al. 2015

JBRA Assisted Reproduction

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show abstract

“…EtCO 2 , P peak , P plato and Vt were determined only in patients where intermittent positive-pressure Analysis of the applied technique of intravenous anesthesia for in vitro fertilization in obese and patients with normal body mass index BIS index is processed electroencephalographs monitor which measures the effects of sedatives and anesthetics on the brain; a new vital sign that allows clinicians to deliver anesthesia with more precision and to assess and respond more appropriately to patients changing condition during surgery [7]. The BIS monitor provides a single number, which ranges from 0 to 100 where the value between 40 and 60 indicates an appropriate level for general anesthesia [8].…”

Section: Monitoringmentioning

confidence: 99%

Analysis of the applied technique of intravenous anesthesia for in vitro fertilization in obese and patients with normal body mass index

Videnović¹,

Mladenović²,

Pavlović³

et al. 2019

Srp Arh Celok Lek

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Introduction/Objective In this study, the effects of applied anesthetic techniques were investigated in a retrospective analysis of obese patients and those with normal body mass index undergoing in vitro fertilization, using bispectral index as an indicator of anesthetic depth. Methods In total 116 patients with normal body mass index were allocated to group N. Another 116 patients with body mass index > 30 kg/m 2 were allocated to group O. Anesthetic protocol comprised midazolam for premedication, diclofenac for pre-emptive analgesia, propofol for induction and maintenance, alfentanil for analgesia, suxamethonium for muscle relaxation. We recorded and compared the monitored parameters using t-test and χ 2 test. Results Procedure duration and recovery time were significantly longer in O group (p < 0.01). There is a statistically significant difference (p = 0.000181) in the number of patients requiring mechanical ventilation after induction of anesthesia. Propofol consumption was significantly higher (p < 0.0001) in O group (2.7 ± 1.6 mg/kg) as compared to group N (2.1 ± 0.4 mg/kg). The incidence of postoperative nausea and vomiting was observed in six patients in N group (5.17%) and nine patients in O group (7.76%). Pain intensity was found higher in group O compared to group N (p < 0.0001). Assessment of patients' sedation using verbal scale reported no statistically significant difference between N and O groups (p = 0.2548). Conclusion Induction and maintenance of anesthesia in obese patients results in increased consumption of propofol and the need for muscle relaxation. The statements of the patients who underwent the procedure under intravenous propofol and alfentanil serve as the best recommendation for clinical practice.

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“…This clinical method of IVF needs that the physicians, first harvest “mature oocytes from the ovaries of infertile patients” ( 1 ). Transvaginal oocyte retrieval guided by ultrasound is an IVF related method performed about 100,000 times in each year in the United States, with similar results in the Europe, and nowadays, it has yielded in more than 3.5 million births all around the world ( 2 ). This procedure really takes a very small time interval and physicians usually do it by using general anesthesia, intravenous sedation or local anesthesia ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

Pregnancy Outcome Using General Anesthesia Versus Spinal Anesthesia for In Vitro Fertilization

et al. 2013

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BackgroundThere is a considerable rate of fertility failure and this causes a great burden of untoward effects for patients. Usually a considerable number of these patients undergo anesthesia for their treatment.ObjectivesThis study was designed to compare the effects of general and spinal anesthesia on these patients.Patients and MethodsIn a randomized clinical trial, after taking informed written consent from the patients, 200 patients entered the study; 100 in each. During a 2 year period, women aged 20 to 40 years entered the study (one group receiving spinal anesthesia and the other, receiving general anesthesia). Ovum retrieval protocols were the same. Nonparametric and parametric analyses were used for data analysis. P value less than 0.05 was considered significant.ResultsThere was no difference between the two groups regarding demographic variables. 15 of 100 patients (15%) in the general anesthesia group and 27 of 100 patients (27%) in the spinal anesthesia group had successful pregnancy after IVF; so, spinal anesthesia increased significantly the chance of IVF success (P value < 0.001; Chi Square).ConclusionsThe results of this study demonstrated that spinal anesthesia increased the chance of fertilization success.

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Prospective, observational study of the depth of anesthesia during oocyte retrieval using a total intravenous anesthetic technique and the Bispectral index monitor

Cited by 17 publications

References 11 publications

Evaluation of Plasmatic Concentration of Propofol 2.5µg/ml by TCI using Marsh Modified Model, during oocyte retrieval for IVF in Latin-American women (Venezuelans)

Evaluation of Plasmatic Concentration of Propofol 2.5µg/ml by TCI using Marsh Modified Model, during oocyte retrieval for IVF in Latin-American women (Venezuelans)

Analysis of the applied technique of intravenous anesthesia for in vitro fertilization in obese and patients with normal body mass index

Pregnancy Outcome Using General Anesthesia Versus Spinal Anesthesia for In Vitro Fertilization

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