Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)

TUNCER, Bilge; ÖZTÜRK, Ertan; ERDEM, Mehmet; ERDEM, AHMET; TIRAS, Bülent; GÜNAYDIN, DUDU BERRİN; Karabacak, Onur; KAYA, Kadir

Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)

Ertan ÖZTÜRK, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, Türkiye)

DUDU BERRİN GÜNAYDIN, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, Türkiye)

Onur KARABACAK, (Gazi Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)

Bilge TUNCER, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, Türkiye)

Mehmet ERDEM, (Gazi Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)

Ahmet ERDEM, (Gazi Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)

Bülent TIRAS, (Gazi Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)

Kadir KAYA (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2006 Cilt: 36 Sayı: 2 Sayfa Aralığı: 105 - 111 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)

Öz:

The aim of this study is to compare two accepted techniques; intravenous (IV) remifentanil infusion versus its combination with paracervical block (PCB) in patients undergoing transvaginal ultrasound guided oocyte retrieval (TUGOR). One hundred unpremedicated patients were divided into two groups to receive either IV remifentanil (Group R) or IV remifentanil plus PCB (Group R+PCB). After monitoring cardiopulmonary parameters, remifentanil infusion of 0.25 µg kg-1 min-1 was started in both in groups. Additionally, when the patient felt dizzy, PCB with 10 ml 1% lidocaine was performed only in Group R+PCB followed by remifentanil infusion reduction to 0.15 µg kg-1 min-1. Hemodynamic and respiratory parameters, adequacy of analgesia by Simple Numerical Rating Scale (SNRS), total amount of remifentanil used, pregnancy rates and side effects were recorded. Hemodynamic changes remained within clinical limits.There were clinically insignificant changes in peripheral oxygen saturation (SpO2) and end tidal carbon dioxide (ETCO2) and they returned to baseline at the end of the procedure. SNRS higher than 3 at the time of 1st ovarian puncture was observed in 6 and 0 patients, in Groups R and R+PCB, respectively (P < 0.05). The total amount of remifentanil used (µg) was significantly higher in Group R (571.8 ± 167.4) than in Group R+PCB (357.2 ± 93.6). Pregnancy rates were 60% and 48% for Groups R and R+PCB, respectively (p = 0.048). The incidence of nausea+vomiting was higher in Groups R (42%) than in Group R+PCB (20%) (P < 0.05). Addition of PCB to IV remifentanil infusion was found to be superior in pain relief during 1st ovarian puncture and reduced the incidence of nausea-vomiting with respect to IV remifentanil infusion alone.

Anahtar Kelime: Fertilization in Vitro Anesthetics, Intravenous Anesthesia, Obstetrical Remifentanil

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÖZTÜRK E, GÜNAYDIN D, Karabacak O, TUNCER B, ERDEM M, ERDEM A, TIRAS B, KAYA K (2006). Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). , 105 - 111.
Chicago	ÖZTÜRK Ertan,GÜNAYDIN DUDU BERRİN,Karabacak Onur,TUNCER Bilge,ERDEM Mehmet,ERDEM AHMET,TIRAS Bülent,KAYA Kadir Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). (2006): 105 - 111.
MLA	ÖZTÜRK Ertan,GÜNAYDIN DUDU BERRİN,Karabacak Onur,TUNCER Bilge,ERDEM Mehmet,ERDEM AHMET,TIRAS Bülent,KAYA Kadir Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). , 2006, ss.105 - 111.
AMA	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). . 2006; 105 - 111.
Vancouver	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). . 2006; 105 - 111.
IEEE	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K "Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)." , ss.105 - 111, 2006.
ISNAD	ÖZTÜRK, Ertan vd. "Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)". (2006), 105-111.

APA	ÖZTÜRK E, GÜNAYDIN D, Karabacak O, TUNCER B, ERDEM M, ERDEM A, TIRAS B, KAYA K (2006). Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). Turkish Journal of Medical Sciences, 36(2), 105 - 111.
Chicago	ÖZTÜRK Ertan,GÜNAYDIN DUDU BERRİN,Karabacak Onur,TUNCER Bilge,ERDEM Mehmet,ERDEM AHMET,TIRAS Bülent,KAYA Kadir Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). Turkish Journal of Medical Sciences 36, no.2 (2006): 105 - 111.
MLA	ÖZTÜRK Ertan,GÜNAYDIN DUDU BERRİN,Karabacak Onur,TUNCER Bilge,ERDEM Mehmet,ERDEM AHMET,TIRAS Bülent,KAYA Kadir Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). Turkish Journal of Medical Sciences, vol.36, no.2, 2006, ss.105 - 111.
AMA	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). Turkish Journal of Medical Sciences. 2006; 36(2): 105 - 111.
Vancouver	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF). Turkish Journal of Medical Sciences. 2006; 36(2): 105 - 111.
IEEE	ÖZTÜRK E,GÜNAYDIN D,Karabacak O,TUNCER B,ERDEM M,ERDEM A,TIRAS B,KAYA K "Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)." Turkish Journal of Medical Sciences, 36, ss.105 - 111, 2006.
ISNAD	ÖZTÜRK, Ertan vd. "Remifentanil infusion and paracervical block combination versus remifentanil infusion alone during in vitro fertilisation (IVF)". Turkish Journal of Medical Sciences 36/2 (2006), 105-111.