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Abstract Anesthetic Management for In Vitro Fertilization By : Mohamed Mostafa Ismail Ibrahim Abstract : Assisted reproductive techniques have increased tremendously over the past two decades. Although the rate of success continues to increase, there are still a significant number of cycles that do not result in a live birth. Therefore, it is expected that close scruting will be paid to variables that may affect oocyte retrieval or embryo transfer. It is essential to understand the impact of different anesthetic techniques and medications on IVF and to read carefully any data that links these factors with implantation or pregnancy rates. Not only may there be an impact of the anesthetic on ART but also one of ART on the anesthetic. A variety of anaesthetic techniques and analgesic methods has been used but no definite conclusion has yet been arrived regarding the technique of choice for IVF. No method could be considered as superior to other technique if basic concepts pertaining to IVF are taken care. Conscious sedation is suitable for cooperative females. In addition to conscious sedation and analgesia, many methods of pain relief during oocyte recovery are currently in use. In case general anesthesia is required, the anesthetic drugs should be used cautiously and efforts should be made to reduce the anesthetic duration. The preferred modality of peri-operative care should be individualized as per the requirement of the patient. |