Resumen

FORGUEZ O, G*; LA FUENTE M, J**; ENCINAS V, C***  y  LOZA A, R****. Technical analysis for anesthesia in vacuum follicular transvaginal "Embriovid" Center Ofassisted Reproduction. Cuad. - Hosp. Clín. [online]. 2016, vol.57, n.3, pp.9-16. ISSN 1562-6776.

Abstract Objective: To analyze the anesthetic techniques used in the center of advanced assisted reproduction "Embriovid" for transvaginal follicular aspiration guided by ultrasound (TFA) in order to standardize the dose of anesthetic, reviewit's complications and recovery profile in donor patients in fertility treatment. Methodological Design: Case series. Population and temporality: Patients under anesthesia for TFA in the center of highly specialized assisted reproduction "Embriovid" in the city of La Paz, Bolivia in the period September 2015 to April 2016. Materialand Methods: Clinical records of patients undergoing anesthesia for TFA, their biodemographic variables, data of recovery and complications were recorded and reviewed. Patients received total intravenous anesthesia (TIVA) with with bolus of propofol and fentanylorconscious sedation with fentanyl and midazolam or low doses of propofol. We record the anesthetic dose, surgical and anesthesia times, and no anesthetic drugs administered. Results: 209 procedures divided into two groups registration, group 1 donors aspirations 91 (43.5%) and Group 2 with 118 aspirations (56.5%) of patients in fertility treatment (own oocytes) were included. 199 patients (94.7%) received bolus TIVA anesthesia and conscious sedation in 10 patients (5.3%). TIVA technique combine with propofol bolus fentanyl. The dose of fentanyl was similar in both (average 0.1mg) groups while propofol dose was higher in Group 1 TIVA (200mg vs. 180mg). The TIVA technique shows periods of apnea not requiring invasive procedures. Postoperative pain was frequent but low intensity. The length of stay of patients retained its outpatient basis. Conclusions: TIVA bowling technique combining propofol with fentanyl appears to be a safe anesthetic technique in the hands of an anesthesiologist and suitable for transvaginal aspiration of ovarian follicles.

Palabras clave : transvaginal follicular aspiration; bolus intravenous anesthesia; conscious sedation; anesthetic technique; propofol; fentanyl; midazolam; doses; effects; complications.

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