Comparison of Spinal Anaesthesia (Sub Arachnoid Block) and Intra Venous General Anaesthesia for the Patients Undergoing Ultrasound Guided Oocyte Retrieval -A Prospective Study

Dr.R.Radhakrishnan; Dr.P.Shanmugasundaram

Volume : VII, Issue : III, March - 2018

Comparison of Spinal Anaesthesia (Sub Arachnoid Block) and Intra Venous General Anaesthesia for the Patients Undergoing Ultrasound Guided Oocyte Retrieval -A Prospective Study

Dr. R. Radhakrishnan, Dr. P. Shanmugasundaram

Abstract :

Aim: To compare two different anaesthetic techniques in view of effective pain relief, stress level during intraoperative and postoperative period and success of IVF in patients undergoing Oocyte retrieval procedure.

Materials and methods: This comparative study included 60 patients. Patients were divided into two groups. Those in Group–S patients were given Sub Arachnoid Block(SAB) using 1.5 ml 0.5% Hyperbaric Bupivacaine at L₃–L₄ or L₄–L₅ interspace (With aim of blockade at level of L1 spinal segment distribution) and Group–G patients received intravenous general anesthesia with Glycopyrrolate (20 μg /kg), Inj. Midazolam 1–2 mg IV, Inj. Fentanyl (2 μg/kg), and Ketamine (1mg/kg)

Results: Patients received Spinal Anaesthesia –Sub Arachnoid Block (Group S) had stable intra procedure haemodynamic status, comfortable intra operative positioning of the patients and the consumption of demand analgesia was less which was statistically significant and had few post procedure side effects ( statistically significant) in comparison with Group G who had variable haemodynamic status , more post procedure PONV, anxiety and the need for demand analgesia was also more.

Conclusion: Our study showed that Oocyte retrieval done under Spinal anaesthesia had excellent intra procedure haemodynamic stability and comfortable post procedure status and fewer side effects than patients received intravenous general anesthesia .