Human Reproduction, Vol 13, 2456-2460, Copyright © 1998 by Oxford University Press
F Christiaens, C Janssenswillen, AC Van Steirteghem, P Devroey, C Verborgh and F Camu
Propofol (Dipirivan) is an intravenous anaesthetic drug used for general
anaesthesia. Although frequently used as a general anaesthetic for
ultrasound procedures, its use during transvaginal oocyte retrieval is
currently being debated. A total of 202 patients undergoing fertility
treatment was included in a prospective, matched, controlled study, in
which we compared fertilization rates and embryo development in terms of
morphological quality and speed of development and the implications for
reproductive outcome and pregnancy following general anaesthesia using
either propofol or a paracervical local anaesthetic block during oocyte
collection. There were no differences between the fertilization rates and
the embryo cleavage characteristics for the two groups. The initial
implantation rate per transferred embryo after general anaesthesia was
similar to that after paracervical local anaesthetic block (13.4 versus
18.6%; P = 0.10). The ongoing clinical implantation rates per embryo
transferred were also similar in the two groups.
ARTICLES
Comparison of assisted reproductive technology performance after oocyte retrieval under general anaesthesia (propofol) versus paracervical local anaesthetic block: a case-controlled study
Department of Anaesthesiology, University Hospital, Dutch-speaking Brussels Free University (Vrije Universiteit Brussel), Belgium.
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