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2014, Número 3

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Rev Mex Anest 2014; 37 (3)


Anestesia total intravenosa en fertilidad asistida avanzada

Ramírez-Paesano C

Idioma: Español
Referencias bibliográficas: 31
Paginas: 177-181
Archivo PDF: 204.07 Kb.


RESUMEN

El número de procedimientos por año de fertilización in vitro y otras técnicas de fertilización asistida avanzadas, han ido incrementando vertiginosamente desde el año 1978 hasta la actualidad debido a múltiples razones médicas, ambientales, económicas, profesionales y culturales propias de sociedad actual. En el presente y mundialmente, la anestesia total intravenosa es la técnica de elección para estos procedimientos debido a que los fármacos de uso actual brindan un óptimo perfil de seguridad clínica, biológica y genética con una mínima afectación en la tasa de fecundación, división celular, tasa de implantación y embarazo. La asociación de midazolam/fentanyl/propofol en bolos o perfusión continua es la técnica más utilizada y preferida por los anestesiólogos debido a su fácil manejo, pocos efectos colaterales y rápida recuperación. La utilización del análisis biespectral es de gran ayuda para su manejo. Recientemente el uso de bombas de Infusión Controlada por Diana para propofol y el uso de remifentanyl están siendo cada vez más estudiados y podría proponerse como alternativa a las tradicionales técnicas con fentanyl o alfentanyl.


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