Women undergoing IVF/ICSI procedures Oocyte retrieval Pain
Conditions
Interventions
Standard therapy will consist of routine conscious sedation with midazolam (7.5 mg per os) and pethidine (2 mg/kg bodyweight i.m.). Both medications will be administered 30 minutes before the puncture
Sponsors
VU University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female subjects who undergo elective IVF/ICSI; 2. Age 18-45 years; 3. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Not willing to receive analgesia; 2. Allergy for remifentanil or pethidine.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain levels and as measured by 0-10 numeric rating scale (NRS); 2. SpO2, heart rate and blood pressure during oocyte retrieval; 3. Pain levels in the first 4 days post-puncture. A pain intensity score calculated from an average of 12 ratings across 4 days demonstrated adequate reliability and excellent validity as a measure of the average pain. Furthermore, pain scores in the post-puncture period will be monitored using the McGill pain questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Difference in pain between patients with or without endometriosis; 2. Difference in puncture pain between left- and right ovary; 3. Pain predictors including the expected pain levels, anxiety and pre-procedure pain; 4. Pain scores in the first 4 days post-puncture; 5. Level of sedation according to the Ramsey sedation scale; 6. Use of post-puncture pain medication; 7. Pregnancy rate; 8. Treatment costs; 9. Patient satisfaction with the analgesic method. | — |
Contacts
Public ContactChrista Boer
VU University Medical Center, Department of Anesthesiology
Outcome results
None listed