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Chapter 4 - Conscious Sedation and Analgesia for Oocyte Retrieval

Published online by Cambridge University Press:  09 November 2022

By
Jennifer M. Ulyatt  and
Sarah J. Martins da Silva
Edited by
Rachel Cutting  and
Mostafa Metwally
Rachel Cutting
Affiliation:
Human Fertilisation and Embryology Authority, London
Mostafa Metwally
Affiliation:
Sheffield Teaching Hospitals and the University of Sheffield
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Summary

Oocyte retrieval is a necessary part of IVF treatment. Conscious sedation using a combination of midazolam for anxiolysis, propofol for sedation and alfentanil for analgesia is the commonest approach used to provide pain relief for oocyte retrieval. This chapter presents a practical overview of patient sedation for assisted conception. Recommendations are based on the framework for safe sedation practice set out by the Royal College of Anaesthetists (UK) and include pre-operative assessment, patient preparation and fasting, sedation and analgesia medication, monitoring and recovery. While conscious sedation is commonly delivered by medical practitioners, nurse-led sedation is increasingly being adopted in the fertility sector as it is both appropriate and safe with certain caveats. We also describe the development of a nurse-led sedation service within a hospital-based fertility clinic (Ninewells Assisted Conception Unit, NHS Tayside, UK), and include examples of documentation (pre-anaesthetic chart) and drug protocols developed for effective and safe practice.

Type
Chapter
Information
Manual of Oocyte Retrieval and Preparation in Human Assisted Reproduction , pp. 24 - 36
Publisher: Cambridge University Press
Print publication year: 2022

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