Сравнение различных методов анестезии при извлечении яйцеклеток в клинике вспомогательных репродуктивных технологий

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В обзоре обобщены данные публикаций 2011—2021 гг., посвященных проблеме выбора анестезии при хирургических манипуляциях в программах вспомогательных репродуктивных технологий. Рассмотрены преимущественно рандомизированные клинические российские и зарубежные исследования эффективности различных методов анестезии при трансвагинальной пункции яичников. Проанализированы особенности применения общей анестезии, в том числе ингаляционных и внутривенных анестетиков, седации в сознании с применением пропофола и короткодействующих опиоидов и регионарной анестезии, в частности нейроаксиальной и парацервикального блока. Проведено сравнение методов анестезии по основным параметрам: длительность процедуры, продолжительность восстановления сознания, интенсивность послеоперационной боли, удовлетворенность пациенток, наличие побочных эффектов и влияние на исходы экстракорпорального оплодотворения. Приведены данные об альтернативных методах обезболивания в клинике вспомогательных репродуктивных технологий.

Ключевые слова:

вспомогательные репродуктивные технологии

трансвагинальная пункция яичников

анестезия

анальгезия

седация

Авторы:

Ушаков И.Л.

МЧУ «Отраслевой клинико-диагностический центр ПАО «Газпром»

Потиевская В.И.

ФГБУ «НМИЦ радиологии» Минздрава России

Дата поступления:

26.08.2021

Дата принятия в печать:

21.09.2021

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