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- Title
Effect of Preoperative Anxiety on Depth of Anaesthesia and In Vitro Fertilization Success.
- Authors
Şahin, Sevtap Hekimoğlu; Çopuroğlu, Elif; Altınpulluk, Ece Yamak; Süt, Necdet; Karamanlıoğlu, Beyhan; Elter, Koray; Yaman, Özge
- Abstract
Objective: Infertility anxiety may have a harmful effect on embryo quality and fertilization during in vitro fertilization (IVF). Monitoring brain function gives real-time information about the depth of anaesthesia of a patient. This study examined the effect of preoperative anxiety on the depth of anaesthesia and IVF success. Methods: One hundred thirty-one patients who had undergone oocyte retrieval were divided into two groups according to the Beck Anxiety Inventory (BAI): the low-anxious Group L (n = 71) and high-anxious Group H (n = 60). Hemodynamic stability, intraoperative total propofol and fentanyl consumption, good quality embryo (GQE) rate, and fertilization rate were recorded. Results: Fertilization and GQE rates were not significant between groups L and H. Total propofol consumption was significantly higher in group H than in group L. Heart rate (HR) preoperatively and postoperatively and systolic arterial pressure (SAP) preoperatively and diastolic arterial pressure (DAP) postoperatively were significantly increased in group H than in group L. The time for the modified Aldrete score to reach 9 (MAS 9) in group H was significantly higher than that in group L. The effect of variables that were found significantly in the univariate analysis (Propofol, HRpreop, HRpostop, SAPpreop, DAPpostop, and MAS 9) on BAI score. Conclusion: Total propofol consumption was higher in patients with high anxiety levels, but it did not have a negative effect on IVF success.
- Subjects
ANXIETY; ANESTHESIA; HUMAN in vitro fertilization; FENTANYL; POSTOPERATIVE period
- Publication
Turkish Journal of Anaesthesiology & Reanimation, 2023, Vol 51, Issue 5, p414
- ISSN
2667-677X
- Publication type
Article
- DOI
10.4274/TJAR.2023.22829