Specialist Registrar in Anaesthesia, National Maternity Hospital Dublin, Ireland.
Fellow in Reproductive Medicine, Merrion Fertility Clinic and National Maternity Hospital, Ireland.
Int J Obstet Anesth. 2024 Nov;60:104248. doi: 10.1016/j.ijoa.2024.104248. Epub 2024 Aug 8.
The global burden of infertility is significant and the evidence suggests it is increasing in prevalence worldwide. Assisted reproductive technologies (ARTs) are fertility related treatments used to achieve pregnancy which involve the manipulation of both oocytes and sperm. The specialty is rapidly growing and anaesthesia may be required for several stages in the ART cycle. Anaesthesiologists should appreciate the processes involved and how anaesthesia care can influence safe and effective treatment outcomes. In this review article we explain the key steps of the ART cycle and the role of anaesthesiologists in this process. We also highlight key patient considerations, the implications of remote site anaesthesia and the safety concerns with provision of sedation by non-anaesthesiologists. Finally we outline a typical anaesthetic technique used in our institution for transvaginal oocyte retrieval.
不孕症的全球负担巨大，有证据表明其全球患病率呈上升趋势。辅助生殖技术（ARTs）是用于实现妊娠的与生育相关的治疗方法，涉及卵母细胞和精子的操作。该专业正在迅速发展，ART 周期的几个阶段可能需要麻醉。麻醉师应该了解所涉及的过程以及麻醉护理如何影响安全有效的治疗结果。在这篇综述文章中，我们解释了 ART 周期的关键步骤以及麻醉师在这一过程中的作用。我们还强调了关键的患者注意事项、远程站点麻醉的影响以及非麻醉师提供镇静的安全性问题。最后，我们概述了我们机构用于经阴道取卵的典型麻醉技术。
