Anaesthesia in outside areas

Question 1

ANESTHESIA GOALS FOR IVF

IVF goals

Answer 1

The anesthetic goals for IVF oocyte retrievals are

2. 1. effective analgesia and sedation
3. minimal PONV
4. Executed in a safe manner.

IVF goals also include
1. the ease of administering intravenous medications and patient monitoring.
2. The medications should be short acting and easily reversible.
3. These drugs should minimally affect the oocytes, embryos, and endocrine or immune system.
4. Procedures are costly, and economic factors should be considered.

Safe drugs
1. Benzo
2. Opioids
3. Hypnotics
4. Antiemetics - ondansteron and dex

Analgesics
1. Paracetamol
2. Ketamine
3. ?dexmed
4. ?mag

NO
NSAID - affect PG –> may inhibit embryo IMPLANTATION
Prolactin -impairs ovarian follicle maturation, corpus luteum function and embryo im- plantation

SS_GG 1.6

200 ANESTHESIA OUTSIDE OF THE OPERATING ROOM

Anaesthesia for assisted reproductive technologies