Intraoperative Blood Loss during Induced Abortion: A Comparison of Anesthetics.

Autor: Clare CA; Department of Obstetrics and Gynecology, New York Medical College, Valhalla, New York, USA., Hatton GE; Department of Surgery, The University of Texas at Houston/UTHealth, Houston, Texas, USA., Shrestha N; Department of Anesthesiology, New York Medical College, Valhalla, New York, USA., Girshin M; Department of Anesthesiology, New York Medical College, Valhalla, New York, USA., Broumas A; Department of Obstetrics and Gynecology, New York Medical College, Valhalla, New York, USA., Carmel D; Department of Obstetrics and Gynecology, New York Medical College, Valhalla, New York, USA., Inchiosa MA Jr; Department of Anesthesiology, New York Medical College, Valhalla, New York, USA.; Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Jazyk: angličtina
Zdroj: Anesthesiology research and practice [Anesthesiol Res Pract] 2018 Dec 02; Vol. 2018, pp. 4051896. Date of Electronic Publication: 2018 Dec 02 (Print Publication: 2018).
DOI: 10.1155/2018/4051896
Abstrakt: Objective: To determine whether there is a difference in intraoperative bleeding with inhalational versus noninhalational anesthetic agents for patients undergoing suction dilatation and curettage for first-trimester induced abortion.
Methods: This is an IRB-approved retrospective chart review of the electronic medical records of patients undergoing induced abortion at gestational ages between 5 0/7 and 14 0/7 weeks of pregnancy at the New York City Health + Hospitals/Metropolitan. The records of 138 patients who underwent suction dilatation and curettage for induced abortion between June 2012 and June 2014 were reviewed for an association between anesthetic technique and intraoperative hemorrhage. Twenty patients received inhalational anesthetic agents, while 118 received intravenous anesthetics. Blood loss was estimated by the operating gynecologists.
Results: The mean intraoperative blood loss for inhalational anesthetics (113.6 ml) was significantly higher than with noninhalational agents (40.2 ml) ( p =0.007). Age, body mass index, and gestational age were not statistically different between the groups; the number of methylergonovine doses at induced abortion trended higher with inhalation anesthetics.
Conclusions: The difference in blood loss between the two types of anesthetic techniques was statistically significant. These findings may be important for patients with significant anemia or at an increased risk of bleeding, such as those with unrecognized coagulopathies.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje