[Ambulatory Essure implant placement sterilization procedure for women: prospective study comparing general anesthesia versus hypnosis combined with sedation].

Autor: Musellec H; Département d'anesthésie-réanimation, centre hospitalier privé Saint-Grégoire, 6, boulevard de la Boutière, 35768 Saint-Grégoire, France. musellec.herve@wanadoo.fr, Bernard F, Houssel P, Guillou N, Hugot P, Martin L, Hamelin H, Lanchou J, Gentili ME, Devins C, Virot C
Jazyk: francouzština
Zdroj: Annales francaises d'anesthesie et de reanimation [Ann Fr Anesth Reanim] 2010 Dec; Vol. 29 (12), pp. 889-96. Date of Electronic Publication: 2010 Nov 26.
DOI: 10.1016/j.annfar.2010.10.008
Abstrakt: Objective: implant placement Essure, sterilization procedure for women, were performed under hypnosedation (HYP) and compared to the operative anxiety and analgesia of 12 patients operated-on under general anesthesia (GA).
Study Design: prospective and comparative group study.
Patients and Methods: two groups of twelve patients were matched and compared based on the choice of anesthetic technique: hypnotics (HYP) with possible additional sedation by propofol and remifentanil or GA involving propofol, sevoflurane and remifentanil. The assessment of anxiety and pain based on a visual analogy scale (0-10) and use of analgesics were studied in the recovery room and at discharge of hospital. The statistical analysis relies on nonparametric tests for paired data (Wilcoxon test).
Results: all patients were operated. The two groups are statistically comparable. The preoperative anxiety before premedication is lower in the HYP group (p<0.05). No conversion to general anaesthesia is necessary in the HYP group, but five patients were using sedatives drugs but doses are very low compared to general anaesthesia. The analgesic consumption was equivalent in both groups.
Conclusion: we conclude that hypnosedation is a valuable alternative to traditional anesthetic techniques for ambulatory Essure implant. The use of hypnotic tool is an interesting alternative for the management of patients during invasive medical procedures or surgical, providing psychological benefits to the patient.
(2010. Published by Elsevier SAS.)
Databáze: MEDLINE
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