Our purpose was to characterize and describe anesthesia practice in programs performing IVF in the United States.
We used a telephone survey requiring respondents to be either the program director a physician, or a nurse familiar with the practice.
Two hundred seven (78%) Society ofAssisted Reproductive Technology (SART) registered programs agreed to participate.
Programs were divided by geographic region and type of practice (academic versus private).
Ninety-one private (68%) and 41 academic (56%) programs used personnel provided by the Department of Anesthesiology.
Conscious sedation was performed most commonly (95%). The remaining 5% used primarily either general, regional, or local anesthesia.
Typical recovery times were 90 to 120 min.
Average costs of anesthetic administration were $300-$400 and were similar among groups except for the Eastern academic programs, with a higher mean cost of $543.
Programs using personnel from anesthesiology reported higher costs compared to programs utilizing their own staff ($391 ± 15 vs $157 ± if ; P<0.05).
Complications were infrequent (<10%) ; no hospitalizations or serious life-threatening incidents were reported.
A large number of programs safely used their own trained personnel to deliver anesthesia, and realized a significant reduction in cast.
Mots-clés Pascal : Fécondation in vitro transfert embryon, Anesthésie, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Pratique professionnelle, Analyse coût, Procréation assistée, Homme
Mots-clés Pascal anglais : In vitro fertilization embryo transfer, Anesthesia, Epidemiology, United States, North America, America, Professional practice, Cost analysis, Assisted procreation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0250735
Code Inist : 002B20A04. Création : 11/06/1997.