Patient experience with conscious sedation as a method of pain relief for transvaginal oocyte retrieval: A cross sectional study

Singhal, Himanshu; Premkumar, Prasanna Samuel; Chandy, Achamma; Kunjummen, Aleyamma T; Kamath, Mohan S

doi:10.4103/jhrs.jhrs_113_16

Cited by 11 publications

(1 citation statement)

References 18 publications

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“…Many different types of anesthesia or analgesia are equally effective in achieving patient comfort during OPU. [ 57 58 59 ] The findings of this study show that the procedure time is significantly less with CSA compared to GA for retrieval of similar number of oocytes. Reduced procedural time and no intervention for airway maintenance have important implications in this pandemic with a respiratory virus.…”

Section: Discussionmentioning

confidence: 78%

Resuming Assisted Reproduction Services during COVID-19 Pandemic: An Initial Indian Experience

Jirge¹,

Patwardhan²,

Jirge³

et al. 2020

J Hum Reprod Sci

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Background: The pandemic of COVID-19 has affected many countries and medical services including assisted reproductive treatment (ART) have been hampered. Aim: The study was conducted to assess the preparedness of ART clinics and staff to resume services; patients' reasons to initiate treatment; and key performance indicators (KPIs) of ART laboratories during the pandemic. Setting and Design: This was a semidescriptive, prospective study in two private in vitro fertilization (IVF) clinics in Maharashtra, India, when COVID-19 testing for asymptomatic people was unavailable. Materials and Methods: Time required for replenishing consumables and clinic preparedness to function under “new norms” of pandemic was documented. Infection mitigation measures and triaging strategy were evaluated. KPIs following resumption were analyzed. The Student's t -test was performed for comparing parameters. Results: Thirty percent of the patients consulted through telemedicine accepted or were eligible to initiate treatment on clinic resumption. Lack of safe transport and financial constraints prevented majority from undergoing IVF, and 9% delayed treatment due to fear of pandemic. With adequate training, staff compliance to meet new demands was achieved within a week, but procuring consumables and injections was time-consuming. Fifty-two cycles of IVF were performed including fresh and frozen embryo transfers with satisfactory KPIs even during pandemic. Conscious sedation and analgesia during oocyte retrieval were associated with reduced procedure time and no intervention for airway maintenance compared to general anesthesia. Self-reported pain scores by patients ranged from nil to mild on a graphic rating scale. Conclusions: This study provides practical insight for the resumption of IVF services during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 78%