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2014, Number 3

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Rev Mex Anest 2014; 37 (3)

Total intravenous anesthesia in advanced assisted fertility

Ramírez-Paesano C

Language: Spanish
References: 31
Page: 177-181
PDF size: 204.07 Kb.


ABSTRACT

The annual amount of in vitro fertilization procedures and other advanced assisted fertilization techniques have been increasing since 1978 until now due to many reasons such as medical, environment, economics, professionals and cultural issues of our society. Today, total intravenous anesthetic is the best option for fertilization procedures because current intravenous agents offer optimal profile about clinical, biological and genetically security with minimal affectation over fecundation rate, cellular division, implantation and pregnancy rate. Midazolam/fentanyl/propofol association is the most used and preferred technique by anesthesiologist because it’s easy to use, and has few side effects and provides fast discharges. Bispectral analysis utilization is highly recommended to manage anesthetic. Recently, Target Controlled Infusion pump for propofol administration associated with remifentanil infusion could be an alternative to traditional techniques with fentanyl or alfentanyl.


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