Journal of Human Reproductive Sciences

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 11  |  Issue : 4  |  Page : 365--369

Effect of body mass index on the efficacy of paracervical block for ultrasound-guided transvaginal oocyte retrieval as assessed by requirement of rescue propofol


Dipti Saxena1, Rajeev Rai2, Atul Dixit1, Shilpa Bhandari3, Sadhana Sanwatsarkar1 
1 Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Mohak Hi-Tech Hospital, Indore, Madhya Pradesh, India
2 Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
3 Department of Reproductive Medicine, Mohak Hi-Tech Hospital, Indore, Madhya Pradesh, India

Correspondence Address:
Dr. Dipti Saxena
Department of Anesthesiology, Sri Aurobindo Institute of Medical Sciences, Mohak Hi-Tech Hospital, Bhawarasala, Indore, Madhya Pradesh
India

Background and Aims: Oocyte retrieval is the only vital aspect of in vitro fertilization requiring anesthesia. Previous studies have shown the inconclusive role of paracervical block (PCB) in transvaginal oocyte retrieval (TVOR) under ultrasound guidance. This study was planned to observe the role and efficacy of PCB as measured by the amount of propofol used as rescue in patients undergoing TVOR and grading it on the basis of body mass index (BMI). Methods: This prospective, comparative study, conducted over 1 year, recruited 140 American Society of Anesthesiologists I and II patients and divided into two groups as follows: Group A received PCB with 20 ml of 1% lignocaine and Group B received no PCB. Total propofol consumed, BMI, time taken, oocytes retrieved, postprocedure visual analog scale score, and complications were noted. In both the groups, patients were then divided into underweight, normal, overweight, and obese according to BMI. Statistical analysis was done using Statistical Package Mini Tab Version 17.0. The primary objective was to study the efficacy of PCB as estimated by amount of propofol required during the procedure. The secondary aim was to assess the effect of BMI on the efficacy of PCB. Results: Propofol requirement was found to be significantly more (P < 0.05) in Group B patients (172.14 ± 64.15) in comparison to Group A (132.14 ± 66.11). Amount of propofol required in normal BMI and overweight patients was significantly higher in Group B. No significant difference was observed in underweight, and obese patients in both the groups. Conclusion: PCB reduces the consumption of propofol in normal BMI patients. Underweight and obese population do not benefit from PCB.


How to cite this article:
Saxena D, Rai R, Dixit A, Bhandari S, Sanwatsarkar S. Effect of body mass index on the efficacy of paracervical block for ultrasound-guided transvaginal oocyte retrieval as assessed by requirement of rescue propofol.J Hum Reprod Sci 2018;11:365-369


How to cite this URL:
Saxena D, Rai R, Dixit A, Bhandari S, Sanwatsarkar S. Effect of body mass index on the efficacy of paracervical block for ultrasound-guided transvaginal oocyte retrieval as assessed by requirement of rescue propofol. J Hum Reprod Sci [serial online] 2018 [cited 2021 Jan 17 ];11:365-369
Available from: https://www.jhrsonline.org/article.asp?issn=0974-1208;year=2018;volume=11;issue=4;spage=365;epage=369;aulast=Saxena;type=0