Conscious Sedation and Analgesia for Oocyte Retrieval

TY - CHAP

T1 - Conscious Sedation and Analgesia for Oocyte Retrieval

AU - Ulyatt, Jennifer M.

AU - Martins Da Silva, Sarah

PY - 2022

Y1 - 2022

N2 - Oocyte retrieval is a necessary part of IVF treatment. Conscious sedation using a combination of midazolam for anxiolysis, propofol for sedation and alfentanil for analgesia is the commonest approach used to provide pain relief for oocyte retrieval. This chapter presents a practical overview of patient sedation for assisted conception. Recommendations are based on the framework for safe sedation practice set out by the Royal College of Anaesthetists (UK) and include pre-operative assessment, patient preparation and fasting, sedation and analgesia medication, monitoring and recovery. While conscious sedation is commonly delivered by medical practitioners, nurse-led sedation is increasingly being adopted in the fertility sector as it is both appropriate and safe with certain caveats. We also describe the development of a nurse-led sedation service within a hospital-based fertility clinic (Ninewells Assisted Conception Unit, NHS Tayside, UK), and include examples of documentation (pre-anaesthetic chart) and drug protocols developed for effective and safe practice.

AB - Oocyte retrieval is a necessary part of IVF treatment. Conscious sedation using a combination of midazolam for anxiolysis, propofol for sedation and alfentanil for analgesia is the commonest approach used to provide pain relief for oocyte retrieval. This chapter presents a practical overview of patient sedation for assisted conception. Recommendations are based on the framework for safe sedation practice set out by the Royal College of Anaesthetists (UK) and include pre-operative assessment, patient preparation and fasting, sedation and analgesia medication, monitoring and recovery. While conscious sedation is commonly delivered by medical practitioners, nurse-led sedation is increasingly being adopted in the fertility sector as it is both appropriate and safe with certain caveats. We also describe the development of a nurse-led sedation service within a hospital-based fertility clinic (Ninewells Assisted Conception Unit, NHS Tayside, UK), and include examples of documentation (pre-anaesthetic chart) and drug protocols developed for effective and safe practice.

U2 - 10.1017/9781108891646.004

DO - 10.1017/9781108891646.004

M3 - Chapter (peer-reviewed)

SN - 9781108799690

SP - 24

EP - 36

BT - Manual of Oocyte Retrieval and Preparation in Human Assisted Reproduction

A2 - Cutting, Rachel

A2 - Metwally, Mostafa

PB - Cambridge University Press

CY - Cambridge

ER -