Anesthetic impact of body mass index in patients undergoing assisted reproductive technologies

Egan, Brian; Racowsky, Catherine; Hornstein, Mark D.; Grande, Rafael; Tsen, Lawrence C.

doi:10.1016/j.jclinane.2008.03.003

Cited by 15 publications

(11 citation statements)

References 31 publications

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“…None of the patients managed with spinal anesthesia in their study experienced intraoperative desaturation or required conversion to general anaesthesia with endotracheal intubation. 11 In our study although desaturation was seen in overweight and obese patients but they were easily managed by triple airway manoeuvre and placement of oral airway. No conversion to general anesthesia was required.…”

mentioning

confidence: 50%

Variations in anesthetic requirements with body mass index in patients undergoing trans vaginal oocyte retrieval

Saxena

Arya

Dixit

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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mentioning

confidence: 50%

Variations in anesthetic requirements with body mass index in patients undergoing trans vaginal oocyte retrieval

Saxena

Arya

Dixit

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Multiple studies attest to the difficulties associated with each procedure alone (12)(13)(14)(15)(16). Intra-and post-operative complications of oocyte retrieval, noted more frequently in obese patients, include oxygen desaturations both during and after surgery, conversions from total IV to general anesthesia with endotracheal intubation, resorting to the transabdominal approach for oocyte retrieval, as well as increased postoperative pain and need for additional analgesia, occurred more frequently in the obese patients (16). For this reason, most ambulatory reproductive endocrinology centers set an upper limit of BMI for which oocyte retrieval will be performed.…”

Section: Discussionmentioning

confidence: 99%

Combined Oocyte Retrieval and Robot-assisted Hysterectomy in a Super Morbidly Obese Patient with Endometrial Carcinoma

Chung

Brady

Smith

et al. 2018

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“…This is especially cogent because even in the case of such co-morbidities as obesity,[7] which may affect the administration of anesthesia, the cohorts were not significantly different: Thus the single important variable was the carrier status or existence of a genetic disease in the PGD cohort. Although PGD itself is fraught with technical complexities,[8] it is not clear if the fact that underlying diseases in many of the women who apply for PGD induces a greater risk for the actual procedure of IVF than in healthy women.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management for oocyte retrieval: An exploratory analysis comparing outcome in in vitro fertilization cycles with and without pre-implantation genetic diagnosis

et al. 2013

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PURPOSE:To date, there has been no comparison of outcomes in women undergoing anesthesia for in vitro fertilization (IVF) oocyte retrieval for the purpose of pre-implantation genetic diagnosis (PGD) because of their or their partner's genetic disease relative to the outcome in women requiring IVF because of fertility issues.MATERIALS AND METHODS:A prospective observational study, wherein all demographic and anesthetic management data were collected from IVF and PGD units' records for a 6-month period. Descriptive analyses and parametric tests were employed.RESULTS:There were 307 cases IVF and 76 cases PGD: most (97.4% and 99.7%, respectively) received general anesthesia with propofol and fentanyl ± dipyrone (90.5% and 93.3%, respectively) with no adverse effects. The only statistically significant difference between IVF and PGD groups that was potentially clinically significant was post-procedure recovery time (23.0 ± 20.4 vs. 29.4 ± 35.8 min, respectively; P < 0.0001), but is explainable as greater caution by Anesthesiologists for higher-risk PGD cases having autosomal dominant diseases that may impact anesthesia management (myotonic dystrophy, neurofibromatosis, Marfan's); two of these cases also recovered in the general post-anesthesia care unit, as a precaution for early diagnosis and treatment of potential post-procedural complication.CONCLUSIONS:Results of this first-ever survey of anesthesia for PGD compared with IVF cases imply that propofol-and-fentanyl-based anesthesia is safe and can be recommended, bearing in mind that with patients who have autosomal dominant diseases impacting anesthetic management it is prudent to be more cautious post-recovery.

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Anesthetic impact of body mass index in patients undergoing assisted reproductive technologies

Cited by 15 publications

References 31 publications

Variations in anesthetic requirements with body mass index in patients undergoing trans vaginal oocyte retrieval

Variations in anesthetic requirements with body mass index in patients undergoing trans vaginal oocyte retrieval

Combined Oocyte Retrieval and Robot-assisted Hysterectomy in a Super Morbidly Obese Patient with Endometrial Carcinoma

Anesthetic management for oocyte retrieval: An exploratory analysis comparing outcome in in vitro fertilization cycles with and without pre-implantation genetic diagnosis

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