Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review
Transvaginal oocyte retrieval (TVOR), done for the purpose of assisted reproduction can instigate enormous pain and therefore requires adequate analgesia with the least adverse effects. As the procedure involves retrieving oocytes for in vitro fertilisation, the effect of the anaesthetic drugs on th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Human Reproductive Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jhrs.jhrs_141_22 |
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| author | Puvithra Thanikachalam Dilip Kumar Govindan |
| author_facet | Puvithra Thanikachalam Dilip Kumar Govindan |
| author_sort | Puvithra Thanikachalam |
| collection | DOAJ |
| description | Transvaginal oocyte retrieval (TVOR), done for the purpose of assisted reproduction can instigate enormous pain and therefore requires adequate analgesia with the least adverse effects. As the procedure involves retrieving oocytes for in vitro fertilisation, the effect of the anaesthetic drugs on the oocyte quality should also be considered. This review focuses on the various modes of anaesthesia and the anaesthetic drugs which can be administered safely to provide effective analgesia in normal and in special conditions such as women with pre-existing comorbidities. Medline, Embase, PubMed and Cochrane electronic databases were searched according to modified Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. According to this review, conscious sedation appears to be the most preferred mode of anaesthesia in women undergoing TVOR owing to fewer adverse effects, faster recovery, better patient and specialist comfort and the least effect on oocyte quality and embryo development. Combining it with paracervical block resulted in lesser consumption of the anaesthetic drug, which may have a beneficial effect on the oocyte quality. |
| format | Article |
| id | doaj-art-5c4df34743be4392b04609648fe458a4 |
| institution | Kabale University |
| issn | 0974-1208 1998-4766 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj-art-5c4df34743be4392b04609648fe458a42025-02-10T07:37:00ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662023-01-0116121510.4103/jhrs.jhrs_141_22Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative ReviewPuvithra ThanikachalamDilip Kumar GovindanTransvaginal oocyte retrieval (TVOR), done for the purpose of assisted reproduction can instigate enormous pain and therefore requires adequate analgesia with the least adverse effects. As the procedure involves retrieving oocytes for in vitro fertilisation, the effect of the anaesthetic drugs on the oocyte quality should also be considered. This review focuses on the various modes of anaesthesia and the anaesthetic drugs which can be administered safely to provide effective analgesia in normal and in special conditions such as women with pre-existing comorbidities. Medline, Embase, PubMed and Cochrane electronic databases were searched according to modified Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. According to this review, conscious sedation appears to be the most preferred mode of anaesthesia in women undergoing TVOR owing to fewer adverse effects, faster recovery, better patient and specialist comfort and the least effect on oocyte quality and embryo development. Combining it with paracervical block resulted in lesser consumption of the anaesthetic drug, which may have a beneficial effect on the oocyte quality.https://journals.lww.com/10.4103/jhrs.jhrs_141_22anaesthesiaassisted reproductiongeneral anaesthesiaoocyte retrievalpain reliefregional anaesthesia |
| spellingShingle | Puvithra Thanikachalam Dilip Kumar Govindan Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review Journal of Human Reproductive Sciences anaesthesia assisted reproduction general anaesthesia oocyte retrieval pain relief regional anaesthesia |
| title | Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review |
| title_full | Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review |
| title_fullStr | Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review |
| title_full_unstemmed | Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review |
| title_short | Pain Management during Ultrasound Guided Transvaginal Oocyte Retrieval – A Narrative Review |
| title_sort | pain management during ultrasound guided transvaginal oocyte retrieval a narrative review |
| topic | anaesthesia assisted reproduction general anaesthesia oocyte retrieval pain relief regional anaesthesia |
| url | https://journals.lww.com/10.4103/jhrs.jhrs_141_22 |
| work_keys_str_mv | AT puvithrathanikachalam painmanagementduringultrasoundguidedtransvaginaloocyteretrievalanarrativereview AT dilipkumargovindan painmanagementduringultrasoundguidedtransvaginaloocyteretrievalanarrativereview |