Sedation for Gyn Procedure

[Haybrant]

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Appreciate Anesthesia input about the following situation. Patient is 34 yo woman with severe primary vaginismus who is interested in becoming pregnant. Attempts at physical therapy have made very little headway. 5 months of ICI (intracervical insemination) have not resulted in pregnancy.

Question: is there an appropriate sedation for intrauterine insemination which requires insertion of a speculum. Would you expect colonoscopy level sedation to help the patient tolerate the procedure. Does gyn have issues with use of fentanyl/midazolam for something like this?

 

[WholeLottaGame7]

Since you're rad-onc and not gyn, I think this falls under the "No asking for medical advice" part of the terms and conditions. I will just say that there are a variety of options for sedation for REI procedures, some involving anesthesia, and some not, and the best plan is to discuss it with the interested party's OB/GYN.

 

[Psai]

Why not ask your gyn?

 

[Hoya11]

Appreciate Anesthesia input about the following situation. Patient is 34 yo woman with severe primary vaginismus who is interested in becoming pregnant. Attempts at physical therapy have made very little headway. 5 months of ICI (intracervical insemination) have not resulted in pregnancy.

Question: is there an appropriate sedation for intrauterine insemination which requires insertion of a speculum. Would you expect colonoscopy level sedation to help the patient tolerate the procedure. Does gyn have issues with use of fentanyl/midazolam for something like this?

LMA and be done with it

 

[dhb]

Asking for a friend? 😉

 

[IlDestriero]

Propofol. 5 minutes. $500.
Or some ketamine.


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Il Destriero