Anaesthesia in day case laparoscopic female sterilization: a comparison of two anaesthetic methods

Acta Anaesthesiologica Scandinavica
L K Rognås, P Elkjaer

Abstract

Laparoscopic sterilization (LS) in women is a procedure frequently carried out in a day case setting. The purpose of the study was to measure postoperative pain, nausea and vomiting (PONV), the incidence of unplanned overnight admissions and patient satisfaction with two different anaesthetic methods. From August 1997 to January 1999 the LS patients were anaesthetized with propofol + fentanyl/alfentanil, N2O and atracurium, and from January 1999 to end of 2001 they were given TIVA with propofol + remifentanil. Postoperative pain was managed with standardized high doses of paracetamol and NSAID in both groups. Data were collected from hospital records and from questionnaires given to all the patients. Six hundred and eighty-one women were sterilized. There were no significant differences in postoperative pain between the two groups, with 8.2 and 12.1 per cent, respectively, experiencing severe pain. Significantly fewer patients experienced moderate or severe postoperative nausea after the introduction of remifentanil anaesthesia (3.3 vs. 11.7%, P = 0.001). Eleven patients (1.8%) were admitted overnight, with no difference between the two groups. 94.5% and 96.3% of the patients were either satisfied or very satisfied with their t...Continue Reading

References

Aug 6, 1999·Journal of Clinical Anesthesia·J TangA Sloninsky
Feb 26, 2000·British Journal of Anaesthesia·B Hedayati, S Fear
Mar 15, 2002·Anaesthesia·G A McHugh, G M M Thoms
Sep 5, 2002·World Journal of Surgery·Hung Lau, David C Brooks
Jan 30, 2003·European Journal of Anaesthesiology·B J PollardE W Moore
Jan 30, 2003·European Journal of Anaesthesiology·I AlperB Ozyar

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Citations

Jan 24, 2008·Journal of Evaluation in Clinical Practice·Giuseppe GarceaDavid P Berry
Jan 23, 2009·The Clinical Journal of Pain·Josimari M DesantanaGabriela Rocha Lauretti
Feb 24, 2006·Anaesthesia and Intensive Care·N PollockK Stowell

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