Local Anaesthetic In IVF

Local Anaesthetic In IVF

Fear arises from not knowing. Local anesthetic today provides patients less discomfort and makes you sleep sooner.

Most of the treatments we have discussed are performed under local anesthetic. We too prefer anesthesia. Strong pain killers such as Propafol and Fentanyl is given in conjunction with the anesthetic. Measures to be taken by the patient before anesthesia should be known and understood. Patients who receive anesthesia should not drink or eat anything for 6 hours prior. We intend to have the patient under local anesthetic on an empty stomach. The reason for this is because we do not want the patient to have unwanted contractions of the stomach and lose control again pushing food and fluid to the throat. And those substances may travel to the windpipe to the lungs during breathing. This is very dangerous and acidic gastric juice can burn the respiratory system. Solid food pieces can obstruct the windpipe and cause a clog. Both cause shortness of breath and inflammation in the lungs.

Even very little food or liquid can cause serious risk.

In larger or emergency operations, a catheter is inserted to close their system. If the stomach is full contents are emptied with a nasogastric probe.

Patients should take bring all necessary test results with them prior anesthetic. As more modern drugs are used the old anesthetic test is no longer required. HSG and egg collection (OPU) is processed in a very short period. In 10-15 minutes 20 eggs can be collected easily. These processes rarely exceed 15 minutes.

When patients return to their rooms they are usually awake and talking. If patient does not respond to verbal questions then a nurse should be called immediately. Patients breathing should be checked by watching their chest movements. Again, notice must be given urgently if patient’s bruising.

Patients should enter the clinic 30 minutes before the procedure to fill in relevant forms and notify us about previous illnesses and medication.

Patient should be tested for infectious diseases so that the staff would not be affected. This is important to be done before TESA TESA or the egg collection process.

Before entering egg collection treatment the patient should have performed a blood test for risks of blood loss or clotting.

Some patients are leaving the clinic in a rush, not noticing that they might have certain side affects like, nausea, pain, ear chiming, blurred vision, etc. These symptoms should be reported to the physician before they leave.

 

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